Medical Claims Jobs in Oregon
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Search Results - Medical Claims Jobs in Oregon
Portlandacentra.com
innovative tools to increase efficiency, quality, and impact in their roles.
Job Summary and Responsibilities:
Acentra Health is looking for a Medical Claims Reviewer to join our growing team.
Job Summary:
This position supports healthcare claims...
2 similar jobs: Salem, Eugene
Remoteenlyte.com
Mitchell’s Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer
• Must be proficient with Microsoft Word and Excel
• Proficiency in navigating between multiple software...
HumanaPortland
Overview
In this role you will audit medical claims to verify CPT/HCPCS/ICD-10-CM coding accuracy and guideline interpretation. You will support APC outpatient coding teams and contribute to cost reduction, working primarily remotely...
Providence Non-RN - OregonPortland
Technician.
2 years experience with insurance verification, medical claims processing, insurance member enrollment or customer service.
2 years experience as a pharmacy technician in a specialty setting (e.g. Long Term Care, Infusion or Specialty Pharmacy...
SCAN Health PlanPortland
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...
Remoteenlyte.com
Description :
Key Responsibilities
• Design, develop, and implement machine learning models and algorithms to address business problems related to medical claims
• Conduct exploratory data analysis to identify patterns, trends, and insights
• Clean...
Remoteicims.com
review of the initial claim, the associated documentation, and any additional information the provider submits on appeal. Working independently, the auditor interprets medical records and applies in-depth knowledge of coding principles, medical necessity...
Remoteicims.com
services, medical billing, hospital, or emergency services preferred
• Managed care, UR, CM, or DM exposure preferred
Technical Skills:
• Proficiency in Microsoft Word, Excel, and Outlook
• Working knowledge of medical claims processing and ICD-10, CPT...
Remoteicims.com
Overview:
This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record...
Remoteicims.com
of treatment setting and services delivered.
Responsibilities:
• Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise...
Remoteicims.com
in the Healthcare industry of enrollment, medical claims and/or pharmacy claims.
• Proficient in Microsoft Office Suite applications PowerPoint, Word, Excel and Outlook.
• Flexible work schedule.
• Experience with project management tools like JIRA.
• Strong...
Remoteicims.com
on clinical review, coding accuracy, medical necessity, and the appropriateness of treatment setting, and services delivered.
Responsibilities:
Audits Outpatient and Specialty Claims:
• Utilizes medical chart coding principles and client specific guidelines...
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