Medical Claims Jobs in Minneapolis
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Search Results - Medical Claims Jobs in Minneapolis
TEKsystems-Minneapolis
Job Description
Job Description
Now Hiring for a Medical Claims Analyst for a PBM to help analyze and correct medical claims!!
MUST HAVES:
2+ years of claims experience with emphasis on researching / auditing not processing or production...
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Humana-Minneapolis
Overview
As a Medical Coding Auditor at Humana, you will review medical claims against records to ensure accurate CPT/HCPCS/ICD-10-CM coding. You will interpret coding guidelines and contribute to cost reduction while supporting APC outpatient...
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Benefits Management Group Inc-Minneapolis
Job Description
Job Description
Growing third party administrator of employee benefit funds is seeking Medical Claims Adjuster & Claims Customer Service Representative to join our Minneapolis office. In this dual role, you will be responsible...
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UnitedHealth Group-Minneapolis
years of Python, SQL or R experience; experience with Snowflake or Databricks
• 2+ years of CMS Payment Model Implementations
• 2+ years of working with medical claims and enrollment data in large data warehouses (e.g., Integrated Data Repository...
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Optum-Minneapolis
an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce...
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appcast.io -
SCAN Health Plan-Minneapolis
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
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TEKsystems-Minneapolis
and appeal filings
• Knowledge of specialty pharmacy operations
• Must have pharmacy call center experience (A-level) or healthcare call center/medical claims experience (A- to A+ range)
• communication skills
• collaboration and teamwork
• attention...
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Sedgwick-Minneapolis
Overview
In this role you perform clinical evaluations on disability claims, guiding medical review and ensuring documentation supports claim decisions. You act as a clinical resource to claims examiners and collaborate with providers to validate...
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