Click to search for jobs

LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

Job Description
UW Medicine Faculty Practice Plane Services has and outstanding opportunity for a Claims Specialist (Patient Account Representative 2). This position is responsible for claims review, clearing claim edits, and timely and accurate submission of claims (both electronic and paper)
WORKING SCHEDULE:
* Monday - Friday, Full-time
* Remote
PRIMARY JOB RESPONSIBILITIES:
* Re...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receives claims, confirms policy coverage and acknowledgement of the claim
* Determines the v...

LOCATION: Remote – This is a home based, virtual position that operates Monday-Friday from 8:30am-5:00pm EST. Vaya Health welcome applications from NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate pay...

Become a part of our caring community and help us put health first
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Initial and Appeals/Disputes level. All work occurs within a context of regulatory compliance, and work...

Become a part of our caring community and help us put health first
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which m...

Employment Type:
Full timeShift:
Day Shift
Description:
Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines.
Researching claims that do not process as expected and overseeing any necessary configuration changes.
Reviewing CMS notifications and assuring any necessary updates are done timely.
Reviewing provider contracts to make sure...

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health servi...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustain...

Employment Type:
Full timeShift:
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.1738-$24.1614)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate ...

Description
Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Unit. This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler with deep Miscellaneous Medical Facilities (MMF) and Long‑Term Care (LTC) facility PL expertise. With minimal supervision, the Complex Claims Specialist will manag...

Scheduled Hours
40
Position Summary
This position queries providers and works closely with the Pediatrics Coding Supervisors on coder and physician education as Lead Coder. Responsible for meeting with physicians and administrators as requested. Coding Coordinators are a resource to inpatient coders and assist in training new coders. Performs scheduled or Ad Hoc coder audits. Reviews and ...

Patient Support Medical Claims Processing Representative
Contract Remote Role – Location (Open to Remote US)
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and acces...

Patient Support Medical Claims Processing Representative
Remote Role – Location (Open to Remote US)
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to thei...