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Healthcare Claims Jobs

719 jobs

Description: At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class educational architect / trainers, like you, to help us build our next gener...
Description: At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class educational architect / trainers, like you, to help us build our next gener...
Company Confidential
Healthcare Claims Examiner Job Description Job Description: Health Care Claims Specialists (Examiners) process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgi...
Healthcare Claims Customer Service Representative Regional TPA is looking for an experienced Customer Service Representative with medical claims experience. M-F 8:30-5:00; temp-to-hire, possible direct hire. RESPONSIBILITIES Promptly answers inquiries with adherence to confidentiality agreements and HIPAA policies and procedures Educate callers concerning plan benefits, programs and procedures...
Claims Examiners IMMEDIATE HIRE! A premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data. · Analyze ...
Our client is currently seeking a Sr Data Analyst- healthcare claims /provider fraud. This job will have the following responsibilities: Essential Functions: • Identify and implement analyses and/or audits relating to healthcare claims data with a focus on provider fraud, waste, and abuse in an ad-hoc, exploratory environment Possess a strong knowledge of SQL Server and other related technologi...
Job Description: Sr Accountant - 6 month contract - 45/hr Description: Preparation of Journal Entries Preparation of Financial Results for Reporting and analysis Preparation of Payroll files for Reporting and analysis Preparation of various Reports In addition to standard accounting duties, we need an individual that can assist with a project to load Financial Reporting data into an Access databa...
Job Description: Sr Healthcare Claims Accounting Manager – Contract to Hire Please provide compensation information Description: · Manage staff on their daily tasks · Build Financial Dashboard monthly · Meet with regional accounting team · Travel will be 10% of the time, but by plane, or public transit if needed. No driving will be required. · Direct supervision of team of 5-7. · Responsible for ...
Technical Trainer, Healthcare Claims - Eden Prairie or Duluth, MN-669762 Description At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class ed...
At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class educational architect / trainers, like you, to help us build our next generation customer...
At Optum, we believe the technology we create helps to change lives. When you join us as a Training Consultant, you will have the opportunity to be a part of that change. You will work alongside our brilliant teams who are focused on solutions to meet a wide range of health consumer needs. We need world-class educational architect / trainers, like you, to help us build our next generation customer...
Our client is currently seeking a Sr Data Analyst- healthcare claims /provider fraud. This job will have the following responsibilities: Essential Functions: • Identify and implement analyses and/or audits relating to healthcare claims data with a focus on provider fraud, waste, and abuse in an ad-hoc, exploratory environment Possess a strong knowledge of SQL Server and other related technologi...
JOB DESCRIPTION Are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan! Founded in 1980, we are the industry’s most comprehensive provider of healthcare cost management solutions. We have almost 900,000 healthcare providers under contract, an estimated 68 million consumers accessing our network products, and 40 milli...
Requisition #: 5133 Job Title: Healthcare Claims Review Analyst City: Omaha State: Nebraska Country: U.S. Employment Type: Full Time Salary Grade: N14 Description: JOB DESCRIPTION Are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan! Founded in 1980, we are the industry’s most comprehensive provider of heal...
Collective Health is looking for an energetic and creative Associate Product Manager to join the Product team. This person will help build out the functionality and technology that lies at the core of the Collective Health business model. This Associate Product Manager will be revolutionizing the technology that healthcare organizations use to process and manage claims. The core responsibilities ...
Job Description: Zelis Healthcare- Claims Integrity (formerly PHX) is renowned for providing advanced cost management and claims integrity solutions for payers of all sizes, combining high-tech automation with high-touch expertise and professional services. We are seeking a key addition to our Operations team who will partner with the VP Operations for operational decision making as it relates to...
ABOUT THE POSITION We are currently seeking a dynamic Assistant Vice President (AVP) of Healthcare Claims Operations to join our team at our office in Cypress, CA. The Assistant Vice President (AVP) of Healthcare Claims Operations holds a senior leadership position at the Service Center. The AVP of Claims Operations is responsible for healthcare claims strategy and operations, development and ex...
ABOUT THE POSITION We are currently seeking a dynamic Assistant Vice President (AVP) of Healthcare Claims Operations to join our team at our office in Cypress, CA . The Assistant Vice President (AVP) of Healthcare Claims Operations holds a senior leadership position at the Service Center. The AVP of Claims Operations is responsible for healthcare claims strategy and operations, development and e...
Coordinates reporting of total claims inventory, including pre-adjudication and post adjudication. Maintains metrics for inventory categories, and alerts functional leads as to trends and areas outside of pre-established turnaround time expectations. Responds to inquiries related to claim flow and claim status through the Help Desk ticketing system. Key Result Areas Essential Coordinate reporti...
Job Description: OT may be requested even on weekends so please make sure any candidate submitted to this req is open to working OT as needed or determined by manager. Healthcare Financial Analyst - 3 month contract - 35/hr Description: Candidate will be reviewing refunds and balance adjustments for accuracy. Manages and analyzes monetary resources and affairs within an organization. May also be ...