Health Claims Jobs in Philadelphia
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Search Results - Health Claims Jobs in Philadelphia
IntePros-Philadelphia
for individuals with experience in HealthRules, healthcare claims auditing, and benefits configuration, who are eager to work in a fast-paced, client-focused environment.
Key Responsibilities:
• Perform comprehensive audits of client benefits and setup before...
mindmatch.ai -
CIGNA-Philadelphia
The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a fee-for-service (FFS) basis. They will manage a small team of direct reports...
CyberCoders-Philadelphia
With more than $1Billion won for our clients in 20 years of business, we are an ever-growing firm with extensive experience handling first-party claims such hail storms. We place a strong emphasis on the culture within our company, creating a family...
mindmatch.ai -
Pozent-Philadelphia
High School Diploma or equivalency required. Associate Degree preferred. One (1) year of prior claims experience preferred. Knowledge of medical terminology preferred. Knowledge of medical billing/CPT and ICD 9 coding or related experience required...
jobvertise.com -
Burns White LLC-Philadelphia
hospitals and other healthcare-related entities in high-exposure medical malpractice and catastrophic personal injury claims. Our work is rewarding and challenging, and we take seriously our continued ability to achieve excellent results for our clients...
mindmatch.ai -
Guidehealth-Philadelphia
excellent customer service
Answering client and provider questions including, but not limited to claims payment, status and coverage information
Interpreting client health plan protocol
Backup to the claims processing area by assisting with reports...
resume-library.com -
Conduent Business Services, LLC-Philadelphia
Sunday 7:30AM – 11:00PM EST.
Would you enjoy being part of a team that makes a difference in people’s lives & do you love helping people solve complex problems and delivering solutions?
Conduent has plenty of growth opportunities within the healthcare...
Alpha Business Solutions-Philadelphia
experience in a Claims/Service operations environment OR Associate degree or minimum two-year Federal Employee Health Benefits Plan work-related experience, bachelor’s degree preferred.
Knowledge of systems, process flows, regulatory impacts, and timelines...
resume-library.com -
Insight Global-Philadelphia
PA 19124 (Hybrid, Tues-Thurs onsite)
Duration: Perm / Direct Hire
Perm Salary: $100-110K
Interview Process: Single Round, virtual
Job Description:
A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia...
mindmatch.ai -
Pyramid Consulting, Inc-Philadelphia
policies ,FEP Auditing ,Claims/Service operations environment .
High School Diploma or GED ,4 years’ experience in a Claims/Service operations environment OR Associate degree or minimum two-year Federal Employee Health Benefits Plan work-related experience...
resume-library.com -
Highlight Health-Philadelphia
Overview
We are looking for a health coverage large and complex claims analysis expert – an expert who has torn apart hospital and other claims with millions of dollars of charges, knows where the medical billing and pricing skeletons are found...
workable.com -
Partners Consulting, Inc.-Philadelphia
with IT and business strategy for assigned project work.
This role requires experience in the Healthcare domain on critical workflows: enrollment, benefits, billing, and claims (local and ITS).
Key Accountabilities:
Install, configure and maintain...
resume-library.com -
CIGNA-Philadelphia
of approximately $1B. The senior director of Stop Loss will be responsible for protecting and growing this business through driving our high-cost claim strategy, maximizing Cigna's ability to assess risk, and presenting innovative solutions to the market...
Partners Consulting, Inc.-Philadelphia
in healthcare administration, business or a related field preferred or extensive experience in issue management, operations, or health insurance.
3+ years of experience in relevant healthcare operations and project management, with self-funded claims experience...
resume-library.com -
CyberCoders-Philadelphia
the merits of claims, developing legal strategies for cases, managing negotiations with opposing parties, and appearing in court to defend clients rights. You must be comfortable with depositions an trying a case.
Key Responsibilities
• Represent clients...
mindmatch.ai -
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