23 Results for

Processor Jobs in Edenton, OH

Jobs

Tech Lead Yantran LLC

PLANO, TX

Quick Apply

We are seeking a highly skilled Senior FullStack Developer with a strong focus on ReactJS to join our dynamic team at TechM Chennai TMCC. The ideal candidate will have 7 10 years of experience in software development, demonstrating a deep understanding of front end technologies and a passion for building high quality web applications.

30+ days ago

SIU Investigator Centene Corporation Group

$56,200–$101,000 / year

Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required, 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required. Licenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.

3 days ago

Medical Director Scientific Affairs Oscar Health

Dallas, TX

Remote

$237,719–$312,006 / year

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. The Medical Director Scientific Affairs provides strategic leadership to the Clinical Policy team, ensuring medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements.

30+ days ago

Medical Billing Specialist – California Medi-Cal Billing & Collections BAART Programs

Lewisville, Texas

Here is what you can expect from us: BayMark Health Services, a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient and inpatient clinic setting. Our goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life. .

12 days ago

Revenue Integrity Technician Parkland Hospital

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Maintains positive working relationships with other hospital departments such as Patient Financial Services, Medical Records, Compliance, and Clinical areas to ensure that the responsibilities of the department are performed in an expeditious and thorough manner.

30+ days ago

Special Investigations Unit Manager PCHP Parkland Hospital

Establishes, monitors, and reports SIU performance measures, including case inventory and aging, regulatory timeliness, investigator workload and productivity, investigation quality, investigative outcomes, regulatory referrals, identified overpayments, recoveries, and corrective actions. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.

8 days ago

Insurance Verification Specialist Medix Infusion

Addison, Texas

Our Mission: To connect chronically ill and high-acuity patients with infusion therapy by providing convenient, compassionate care within rural, suburban, and other under-served communities. Medix Infusion provides personalized home and in suite infusion therapy services for patients with chronic or acute conditions.

30+ days ago

Principal Engineer-Software Development Verizon

Irving, Texas

You will mentor technical teams and develop high-quality, robust applications that meet critical business needs within our evolving Customer Experience Platform (CXP) and FiOS Order management platform. In the role of Principal Engineer of Software Development, you will provide technical leadership for the design and implementation of complex, scalable software solutions primarily using Java Spring Boot and React.

12 days ago

Associate Doctor of Optometry-Cedar Hill, TX- LensCrafters EssilorLuxottica SA

Cedar Hill, TX

If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.

30+ days ago

Health Information Coordinator Perimeter Healthcare LLC

Garland, TX

Our network includes inpatient psychiatric hospitals, residential treatment centers, and outpatient programs dedicated to helping patients achieve lasting recovery. If youre organized, detail-focused, committed to protecting patient confidentiality, and interested in making a meaningful contribution to behavioral healthcare, wed love to hear from you!

30+ days ago

Reimbursement Representative U.S. Renal Care, Inc.

Plano, Texas

Full time

Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures.

30 days ago

Director CERIS DRG Audit Program CorVel Healthcare Corporation

Fort Worth, TX

Remote

$103,640–$161,535 / year
Part time

The Director leads teams of clinical and coding auditors while collaborating across operations, policy, technology, analytics, product, sales, and client-facing functions to drive organizational performance, quality outcomes, and business growth. This role ensures the integrity of healthcare payments through the identification and recovery of improper payments, optimization of DRG assignments, and continuous improvement of coding accuracy, clinical documentation, and regulatory compliance.

30+ days ago

Director of Physician Services II HCA Healthcare

Dallas, TX

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

25 days ago

Sr. Coordinator, Case Manager Cardinal Health Inc

$21.40–$30.60 / hour

Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before.

11 days ago

Senior Data Analyst Claims Reconciliation Vytwo

Dallas, TX

Remote

Full time

This individual will partner closely with business analytics stakeholders to identify relevant data sources, interpret complex claims data elements, trace claim activity through the adjudication lifecycle, and uncover patterns that support accurate estimate-to-claim matching. This role will focus on defining and analyzing matching criteria between pre-service member- and provider-facing cost estimates and actual medical claims submitted and adjudicated across multiple lines of business.

30+ days ago

Revenue Cycle Manager H2 Health

Dallas, TX

If you have a proven track record in healthcare revenue cycle management, billing, collections, denial management, and reimbursement optimization, we want to connect with you. As a Revenue Cycle Manager, you will be responsible for managing the end-to-end revenue cycle process, from patient registration to claims processing and collections.

3 days ago

HIM CODER ANALYST II AA2IT

Fort Worth, TX

$35–$40 / hour
Quick Apply

Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.

30+ days ago

EPIC AA2IT

Fort Worth, TX

$35–$40 / hour
Quick Apply

30+ days ago

Rating/Claims System Analyst Elevance Health

Grand Prairie, TX

$65,680–$94,415 / year

Three or more years of experience leading end-to-end User Acceptance Testing (UAT), including: (Test strategy and planning, Test scenario and test case development, Test execution, Defect management and validation, Production readiness activities, Code editing and claims knowledge) preferred. How you will make an impact: Responsible for collaborating with cross-functional stakeholders, including business partners, Product Owners, developers, Quality Engineering teams, and vendors, to ensure solutions meet business and technical requirements.

11 days ago

Claims Examiner Sr Sigma Inc

Irving, TX

Quick Apply

This is an excellent opportunity for professionals with experience processing medical claims, Medicare, managed care, and healthcare reimbursement . Collaborate with Business Configuration, Appeals, Provider Data, Network Management, and other operational teams.

1 day ago

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Processor Jobs in Edenton, OH

Tech Lead Yantran LLC

SIU Investigator Centene Corporation Group

Medical Director Scientific Affairs Oscar Health

Medical Billing Specialist – California Medi-Cal Billing & Collections BAART Programs

Revenue Integrity Technician Parkland Hospital

Special Investigations Unit Manager PCHP Parkland Hospital

Insurance Verification Specialist Medix Infusion

Principal Engineer-Software Development Verizon

Associate Doctor of Optometry-Cedar Hill, TX- LensCrafters EssilorLuxottica SA

Health Information Coordinator Perimeter Healthcare LLC

Reimbursement Representative U.S. Renal Care, Inc.

Director CERIS DRG Audit Program CorVel Healthcare Corporation

Director of Physician Services II HCA Healthcare

Sr. Coordinator, Case Manager Cardinal Health Inc

Senior Data Analyst Claims Reconciliation Vytwo

Revenue Cycle Manager H2 Health

HIM CODER ANALYST II AA2IT

EPIC AA2IT

Rating/Claims System Analyst Elevance Health

Claims Examiner Sr Sigma Inc

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