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Healthcare Claims Processor Jobs

Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Duluth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Acworth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Smyrna, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Avondale Estates, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Stone Mountain, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Decatur, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Alpharetta, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Suwanee, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Roswell, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Norcross, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Clarkston, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Healthcare - Case Management Processor
By Dice At United States
Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
Healthcare - Case Management Processor, Remote.
Provides support to the Case Management staff performing non clinical activities and supporting the management of the department.
Responsible for initial review and triage of Case Management tasks.
Screens members using Molina policies and processes assisting clinical Case Management staff as they identify appropriate medical services
Runs reports to assist in coordination of case management needs.
Healthcare Claims Specialist - Remote | Wfh
By Get It Recruit - Healthcare At Little Rock, AR, United States

We are a dynamic organization seeking a skilled and dedicated Medical Claims Specialist to join our team for a remote contract position. With a strong possibility of extension, we offer a rewarding ...

Claims Processor Ii- Medi-Cal (Remote)
By Inland Empire Health Plan At , Rancho Cucamonga
ICD-9 and CPT coding and general practices of claims processing. Prefer knowledge of capitated managed care environment.
Major Functions (Duties and Responsibilities)
Major Functions (Duties and Responsibilities) Cont
Two (2) years experience in examining and processing medical claims; professional or institutional.
Medicare/Medi-Cal experience preferred. Claim adjustments, provider appeals and/or disputes preferred.
Microcomputer skills, proficiency in Windows applications preferred. Excellent communication and interpersonal skills, strong organizational skills.
Claims Processor Ii (Part-Time)
By BlueCross BlueShield of South Carolina At Greenville, SC, United States
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
CES, CORDS, OR AMMS experience
Knowledge of mathematical and statistical concepts
Healthcare Claims Rep ( Tuition/Fsa ) - Remote | Wfh
By Get It Recruit - Healthcare At Kensington, NH, United States

Evaluate, assess, and process claims for individuals enrolled in employer-sponsored benefit plans, focusing on flexible spending accounts and tuition reimbursement plans. Provide friendly and ...

Claims Processor Ii Jobs
By BlueCross BlueShield of South Carolina At , Nashville, 37214
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
Knowledge of mathematical and statistical concepts
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
Disability Claims Processor Jobs
By Kaiser Permanente At , Bakersfield, 93309 $25.95 - $29.53 an hour
Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.
One (1) year relevant experience in health care industry.
Preferred experience with processing disability claims with EDD and release of Information processing.
This is a hybrid on-site/remote position processing Disability claims with EDD and fulfilling requests for Release of Information
Screens disability claims, interviews patients, locates and orders medical records.
Abstracts medical information and diagnoses using ICD-9 codes.
Fraud Claims Processor Jobs
By Dexian At Greater Richmond Region, United States
ACH background & Reg E Experience (In depth Reg E principal knowledge)
2+ years of Banking or financial experience (ideally experience managing claims in high pace environment)
Experience in a high volume environment dealing with claims and meeting defined metrics
Review any claims that are flagged and need to be reviewed or any claims that were not automated
Work with leads in the case issues come up that need to be approved
Stability/ longevity in previous roles
Healthcare Data Analyst - Claims Authorizations
By Providence Health Plan At ,
2+ years' experience with data visualization in Tableau or PowerBI
2+ years' experience with SQL
We welcome 100% remote work for residents of the States of Oregon and Washington.
Required qualifications for this position include:
Preferred qualifications for this position include:
Check out our benefits page for more information about our Benefits and Rewards.