Claims Processing Jobs in Oregon
1 - 15 of 35
Search Results - Claims Processing Jobs in Oregon
LanceSoft-Portland
Reviews
• Medicare, Medicaid, Commercial, Individual & ASO Plans
• Pharmacy Claims Processing
• Mandatory Audits
• Pharmacy Benefit Administration
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills
#16...
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LanceSoft-Portland
Individual & ASO Plans
• Pharmacy Claims Processing
• Mandatory Audits
• Pharmacy Benefit Administration
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills
#16
About LanceSoft
Established in 2000...
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ColumbiaCare Services-Medford (OR)
provides strategic and operational leadership for the organization's behavioral health billing operations and revenue cycle activities managed within the Billing Department. This position is responsible for claims management, payer relations, reimbursement...
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LanceSoft-Portland
Medicare, Medicaid, Commercial, Individual & ASO Plans
• Pharmacy Claims Processing
• Mandatory Audits
• Pharmacy Benefit Administration
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills
#16
About...
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Remote
for claims processing, enrollment, benefits, provider data, and EDI transaction flows
Lead functional, integration, regression, and UAT cycles for assigned payer modules
Analyze requirements and business rules — identify gaps, ambiguities, and testability...
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icims.com -
Remote
Architect and validate sophisticated business requirements for real-time medical provider data exchange, eligibility verification systems, and claims processing workflows across Workers' Compensation and Auto medical billing.
• Lead requirements gathering...
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enlyte.com -
Remote
understanding/experience of Project Management tools (Smartsheet is a plus)
• Experience managing projects using the Scrum Agile software development framework.
• Preference that you have a general understanding of healthcare payor workflows including claims...
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icims.com -
Revenue Cycle Coding Strategies, LLC-Remote
processes and procedures as they relate to healthcare coding.
• Health insurance policies and procedures, particularly as they relate to claims processing.
• Apply knowledge of anatomy, clinical disease process and medical terminology to ensure accurate...
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prismhr-hire.com -
Remote
stakeholders.
Preferred Qualifications:
• Healthcare industry experience.
• Strong understanding of software development life cycles.
• Knowledge of medical claims processing and EDI.
• Basic knowledge of IT applications, data processing, and medical...
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icims.com -
Remote
into business-friendly language
• Experience managing client expectations and building trusted relationships
Preferred Qualifications:
• Experience with SmartAdvisor or similar bill review processing platforms
• Knowledge of workers' compensation claims...
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enlyte.com -
Remote
inputs to Training team and Team Leads for up-to-date written processing instruction/refresher training needs.
• Participate in semi-annual or annual auditor calibration activities.
• Maintain currency on CMS claims processing rules and guidelines...
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icims.com -
Remote
management, approvals, claims processing, and communication processes
• Support ERP, CRM, and dealer management system enhancements and integrations
• Develop operational dashboards and KPI reporting related to dealer program performance, pricing utilization...
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icims.com -
Remote
for Claims Examiner II, reporting to the Claims Team Leader. The Claims Examiner II is responsible for the adjudication of healthcare claims utilizing specific policies and procedures.
The Opportunity:
• Be responsible for processing assigned claims based...
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icims.com -
Remote
advantage Preferred
• Working knowledge of RCM concepts: denial management, AR follow-up, claims processing, eligibility verification, and clearinghouse integrations
• Prior experience at a private equity-backed company, including comfort with PE...
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icims.com -
Remote
Essential Functions/Responsibilities/Duties
• Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs.
• Use claims processing tools to review and research paid claim...
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icims.com -
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