Claims Processing Jobs
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Search Results - Claims Processing Jobs
Healthcare Management Administrators-Bellevue
stakeholders, this position will also assist its customers with reporting-related questions and troubleshooting and will conduct research as needed to determine the appropriate responses.
This role requires experience utilizing claims processing software...
workable.com -
North East Medical Services-Burlingame (CA)
The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE...
HMSA-Honolulu
Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions.
Investigate and resolve escalated claims and trends, including denied or delayed claims...
mindmatch.ai -
North East Medical Services-Burlingame (CA)
Job Description
The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal...
Pride Health-New York
Job Summary
We are seeking a highly experienced Lead Claims Business Analyst to support a large-scale Core Processing System transformation. This role focuses on medical and behavioral health claims processing across government and commercial lines...
Nova Southeastern University-Fort Lauderdale
Job Description
Join Our NSU Health Team as a Temporary Claims Analyst!
Are you detail-oriented, analytical, and passionate about ensuring the accuracy and efficiency of healthcare claims processing? At NSU Health, we’re looking for a dedicated...
Remote
Claim Processing or healthcare industry knowledge is required).
• Experience in a customer–facing role, including comprehending business needs, solving complex problems, and capturing business requirements to convert them into technical requirements...
tistatech.com -
Pride Health-New York
processing in compliance with healthcare guidelines and policies.
Responsibilities
• Research and analyze medical claims adjustment requests and supporting documentation
• Adjust and adjudicate claims for overpayments or underpayments
• Apply appropriate...
CareSource-Bronx
Job Summary:
This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision...
University of Kansas Health System-Lenexa
in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions. OR Associates Degree in a related field of study from...
Pride Health-New York
/hour
Job Summary
Pride Health is seeking an experienced Lead Claims Business Analyst for a contract opportunity in New York, NY. This role will serve as the primary point of contact for the Claims Processing workstream, supporting system...
Cognizant-Englewood (CO)
of the Facets core claims platform for a healthcare Proof of Concept (POC). This role focuses on benefits configuration, claims processing alignment, and ensuring expected adjudication outcomes. You will be a valued member of the System Integration team...
Pride Health-New York
Job Description
Job Summary
We are seeking a highly experienced Lead Claims Business Analyst to support a large-scale Core Processing System transformation. This role focuses on medical and behavioral health claims processing across government...
Triune Infomatics Inc-Pleasanton (CA)
Strong understanding of Policy Administration systems
• Experience with Property & Casualty (P&C) insurance, especially workers’ compensation
• Knowledge of claims processing, payroll, and audit workflows
• Strong stakeholder management and communication...
Cheyenne
Acentra Health is looking for a Claims Supervisor to join our growing team.
Job Summary:
The Claims Supervisor is responsible for overseeing the daily operations of the claims processing team, ensuring timely, accurate, and compliant adjudication...
acentra.com -
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