Medical Claims Jobs in Saint Paul
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Search Results - Medical Claims Jobs in Saint Paul
Humana-Saint 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...
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TEKsystems-Minneapolis, 13 mi from Saint Paul
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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UnitedHealth Group-Saint Paul
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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Benefits Management Group Inc-Minneapolis, 13 mi from Saint Paul
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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SCAN Health Plan-Saint 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...
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Optum-Minneapolis, 13 mi from Saint Paul
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 -
TEKsystems-Saint Paul
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-Saint Paul
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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