Medical Claims Jobs in Minnesota
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Search Results - Medical Claims Jobs in Minnesota
TEKsystemsMinneapolis
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...
HumanaSaint Paul
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...
Benefits Management Group IncMinneapolis
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...
UnitedHealth GroupMinneapolis
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...
Owatonnaicims.com
in-office team as a Medical Management Representative, working Monday through Friday.
In this role you will provide medical consultation for Workers' Compensation, Auto and Liability claims. This position will provide telephonic case management and develop...
SCAN Health PlanSaint Paul
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...
OptumMinneapolisappcast.io
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...
TEKsystemsMinneapolis
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...
MEDLOGIX, LLCMinneapolis
Job Description
Job Description
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our...
SedgwickMinneapolis
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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