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Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Senior Hospital Contract Manager develops a hospital and facility network (hospitals, ancillary groups
Posted Today
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective cus
Posted Today
Screen, code and key claims in claims system. Ensure claims are processed in a timely manner. Description 80% Screen, code and key claims to ensure proper and accurate adjudication of claims in accordance with departmental standards for quality and production, contract regulations, policies and guidelines. 10% Correct keying errors as noted by system edits. 10% Accurately use medical review
Posted Today
Q.B.E North America
- Sun Prairie, WI / Topeka, KS / Missoula, MT / 59 more...
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, an
Posted Today
The primary function of this position is to process medical claims to completion, ensuring proper payment in accordance with the benefit plan reference and guidelines. Job Duties & Responsiblities Interpreting coding and understanding medical terminology in relation to diagnosis and procedures Analyzes and answers inquiries regarding payment, co pay or deductible amounts, and/or reason for denial.
Posted 6 days ago
WPS Health Solutions
- Omaha, NE / Kansas City, MO / Madison, WI / 14 more...
Senior Healthcare Claims and Benefits Design Engineer will review and interpret data within complex claims systems to determine accuracy and compliance with contractual obligations. Collaborate with cross functional groups to develop and implement system updates, ensure continued improvement in the synchronization of systems, people, and processes. Participate in management reviews that include pr
Posted Today
Responsible for underwriting and evaluating residential mortgage loan applications originated by the bank's Mortgage Lenders. Responsible for recommending loan approval of applications. Familiarity and experience with government and conventional loans. Essential Duties and Responsibilities (Other duties may be assigned.) Analyzes personal/business tax returns and financial statements in mortgage l
Posted 8 days ago
Change Healthcare
- Baltimore, MD / Lexington, KY / Cheyenne, WY / 49 more...
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Description 40% Designs, codes, maintain and executes simple to complex database programs for the extraction and
Posted Today
The primary function of this position is to process medical claims to completion, ensuring proper payment in accordance with the benefit plan reference and guidelines. Job Duties & Responsiblities Interpreting coding and understanding medical terminology in relation to diagnosis and procedures Analyzes and answers inquiries regarding payment, co pay or deductible amounts, and/or reason for denial.
Posted 22 days ago
The primary function of this position is to process medical claims to completion, ensuring proper payment in accordance with the benefit plan reference and guidelines. Job Duties & Responsiblities Interpreting coding and understanding medical terminology in relation to diagnosis and procedures Analyzes and answers inquiries regarding payment, co pay or deductible amounts, and/or reason for denial.
Posted 22 days ago
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
BB&T Corporation
- Greensboro, NC / Eldersburg, MD / Greenville, SC
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
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