Claims Processing Jobs in Oregon
1 - 15 of 16
Search Results - Claims Processing Jobs in Oregon
Radius Recycling-Portland-
an organization of approximately 3,500 employees. Core accountabilities include high-volume HRIS data management in UKG Pro, recruitment coordination, and compliance auditing of employee files and Form I-9s. The role also oversees unemployment claims processing...
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Remote-icims.com-
What You'll Actually Do
• Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient’s current level of care with industry standards.
• Use claims processing tools to review and research paid...
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Hermiston-gshealth.org-
records and documentation in compliance with HIPAA and company policy
• Assist in resolving customer complaints or concerns and escalate issues as needed
• Collaborate with billing staff to ensure accurate and timely claims processing
• Perform general...
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Remote-icims.com-
and various spending accounts, claims processing and reimbursement procedures.
This is a REMOTE position, but candidates must reside in the following states to be considered as we are hiring team members only in Mountain Standard Time (MST) or Central...
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Remote-enlyte.com-
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 processing, bill review...
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Remote-icims.com-
Overview:
Position Overview:
We are seeking a Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate...
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Remote-tistatech.com-
judgment as require.
Qualifications:
• 10 years of IT Industry experience (Required).
• Claim Processing or healthcare industry knowledge (Required).
• At least 2 years of experience in Test Automation using Selenium including Framework development...
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Remote-icims.com-
emotional, spiritual, environmental, and financial needs.
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs.
• Develop treatment plan...
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Remote-icims.com-
recommendation, the impact to claims processing, and the associated value.
• Successfully advocate for the adoption of new medical policies by clients to optimize the value Cotiviti offers.
• Participate in client meetings as required as a medical policy subject...
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Remote-icims.com-
customer and agent experiences during shopping, quoting, servicing, and claims processing. They also enable our users to create, modify, and underwrite our insurance products.
Geo-Salary Information:
An in-person interview may be required during...
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Remote-icims.com-
Overview:
Position Overview:
We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate...
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Remote-icims.com-
of basic payer processes including provider contracting, claims processing and benefits administration
• Strong interpersonal and presentation skills and experience
• Strong communication skills
• Strong proposal writing skills and experience...
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Remote-icims.com-
High proficiency in multiple HealthRules Payor components including but not limited to Pricing, Benefits, Claims, Utilization Management.
• Minimum of 10 years total experience in healthcare claims processing or health plan operations
• Proficiency...
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Remote-icims.com-
and guidelines, as well as other state and board regulations.
• Conducts in-depth claims analysis of suspected over-utilizers who are suspect of fraudulent billing practices, including analysis of Standard Claims Processing files to detect potential fraudulent...
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Remote-icims.com-
in a fast-paced and demanding environment.
• Effective at managing timelines and multiple projects with high accuracy and attention to detail.
• Provide coding, claims processing and industry expertise to help create clinical coding policy or pharmacy claims...
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