Health Claims Jobs
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Search Results - Health Claims Jobs
CGI Group, Inc.-Knoxville
Position Description:
CGI is seeking a highly motivated, self learner, creative and passionate Junior Engineer to Support Claim Intelligence and Healthcare Analytics. This Claim Intelligence Engineer is responsible for leveraging advanced...
Community Health Associates-Yuma
Job Summary:*
The Billing & Claims Specialist is responsible for the accurate preparation, submission, and management of claims to payers, ensuring compliance with AHCCCS (Arizona Health Care Cost Containment System), and MCO (Managed Care...
Expert In Recruitment Solutions-Atlanta
Healthcare Data Analyst (Claims, Pharmacy, SQL Data Visualization
100% remote
Please ensure candidates meet the following criteria
• 8-10 years of proven experience as a Senior Data Analyst in the healthcare industry
• Strong SQL skills...
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Inland Empire Health Plan-San Jose
and CMS rules and regulations governing claims adjudication practices and procedures desired.
Principles and techniques of supervision and training.
Knowledge of medical terminology and understanding of healthcare claims.
Analytical skills with emphasis...
Pyramid Consulting, Inc-Tampa
and process the claim as per the benefit.
• Customer and Internal Business Partner Interaction - Communicate with member, healthcare providers and internal business partners to resolve the claim or gather required additional information.
• Data Entry - Enter...
mindmatch.ai -
Inland Empire Health Plan-San Diego
and CMS rules and regulations governing claims adjudication practices and procedures desired.
Principles and techniques of supervision and training.
Knowledge of medical terminology and understanding of healthcare claims.
Analytical skills with emphasis...
AEGIS Insurance Services, Inc.-East Rutherford
AEGIS Insurance Services, Inc. (“AEGIS”) has an immediate opening for a ClaimsLitigation Analyst responsible for overseeing an inventory of complex General Liability claims at the excess level. Candidate will effectively manage assigned claims...
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US Tech Solutions, Inc.-Canton (MA)
Job Summary:
The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing medical claims, identifying appropriate medical records and providers, and documenting follow...
resume-library.com -
Russell Tobin-Mason (OH)
the electronic health records (EHR) system and clearing house.
• Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
• Download insurance carrier evidence of benefits (EOBs) to post claim payments and denials in the EHR...
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NTT DATA-Dallas
Process and adjudicate health, dental, and vision insurance claims
Perform quality assurance reviews of auto-adjudicated claims to ensure accuracy and identify areas for improvement
Analyze claim documentation to ensure accuracy, completeness...
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Government Employees Insurance Company-Fredericksburg (VA)
Claims Service Specialist – Fredericksburg, VA
Salary: $25.81 hourly/ $52,000 annually
Hybrid role: Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week
Claim your career growth as a Claims...
5 similar jobs: Dale, Falmouth, Montclair, Triangle, Bryans Road
Inland Empire Health Plan-Los Angeles
and CMS rules and regulations governing claims adjudication practices and procedures desired.
Principles and techniques of supervision and training.
Knowledge of medical terminology and understanding of healthcare claims.
Analytical skills with emphasis...
The Bristal Assisted Living-Ronkonkoma
JOB SUMMARY:
The Insurance Claims Specialist will be responsible for overseeing, investigating, and managing insurance claims for Workers Compensation, Employment Practices Liability Insurance (EPLI), General Liability (GL), and Professional...
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Tuba City Regional Health Care Corporation-Tuba City
is responsible for management, providing technical direction and submission of properly executed claims in a timely manner to third party payers, responsible parties, and resubmission of corrected claims. Maximize reimbursement and minimize denied payments...
United Public Adjusters & Appraisers, Inc.-Melville (NY)
Overview:
United Public Adjusters (UPA) is seeking a diligent and experienced Personal Property/Contents Claims Adjuster to oversee and manage the processing of content-related insurance claims. The ideal candidate will have a strong background...
mindmatch.ai -
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