- UpvoteDownvoteShare Job
- Suggest Revision
Experience with State benefits and leave programs, detailed elements of Risk management, Insurance Claims processing, Program Administration, and HR software databases as well as use of transactional spreadsheet resources.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Completes processing of workers compensation, unemployment, insurance and disability claims as required. Support the HRIS Director with tasks such as but not limited to: recruitment, volunteers, criminal background checks, reference checks, onboarding, payroll status changes, and offboarding.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Clinical Coding Specialist assigns the appropriate diagnostic and procedural codes to all inpatient and ambulatory surgery and observation discharges as required and according to hospital coding and billing rules for data retrieval, analysis and claims processing, adhering to established coding conventions and guidelines and UHDDS reporting guidelines.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This is NOT an IT role and it will be configuring our Facets claims payment operating platformProvidence is seeking a Facets Configuration Analyst, who will: Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Oversight of Medicaid claims, Tricare and Coverage Gap processing operations with Third Party vendor and coordination of quarterly cash flow monitoring with Treasury. Insure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle.
ExpandUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Administers all day-to-day activities with benefits administration and record keeping (i.e., open enrollment process, invoices, scheduling meetings and info sessions, data entry/data management, including employee's leave time activity, ACA, garnishments, workers comp claims, work comp and FMLA documents.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Extensive experience working with states’ claims processing systems (including MMIS), payment policy, payment systems, coding, billing, and compliance rules in Medicaid and CHIP; Knowledge and expertise in working with states’ claims processing systems (including MMIS), payment policy, payment systems, coding, billing, and compliance rules in Medicaid and CHIP.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Serves as liaison and resource for departments, employees, and other interested parties regarding claims procedures, benefit levels, claims processing, training, and other leave management programs.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Strong experience with leading healthcare technology systems such as EMR (Epic), Claims processing (Epic), ERP (Workday), CRM, cloud based data platforms (Azure, Snowflake) etc. Bachelor's degree in Computer Science, Engineering, Management Information Systems (MIS), Business or related/relevant degree AND minimum of 4 years of experience as a BI Developer, Data Analyst, Business Analyst, Operations Analyst, Data Engineer, Database Developer, and/or Technical/Systems/Application Analyst.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Objectives may include new distributor onboarding, training, call center management, post issue servicing, licensing, and appointment, and/or claims processing. Objectives may include new distributor onboarding, training, call center management, post issue servicing, licensing, and appointment, and/or claims processing.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Understand medical billing, coding, insurance claims processing, and revenue cycle management. Review and process complex claims related to Maven's fertility treatments, procedures and applicable medications, and expenses related to additional paths to parenthood in accordance with company policies and benefits plan designs.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As part of the consumer Loan Servicing Team will assist in the processing of any Consumer Loan promotions that are offered on a yearly basis. Prepares and processes premium deficiency, repossession, theft, and skip claims at the end of each month.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This includes but is not limited to processing of checks for vendors, employee travel advances and claims, student financial aid and fee refunds, vendor maintenance, salary and wage advances, submission of claims for reimbursement to the State Controller's office, sales and use tax compliance and reporting, reconciliation of accounts, balances, and system processes related to this function.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Work involves responsibility for performing a variety of clerical functions in a service area such as criminal/traffic, civil/small claims, or probate, guardian conservator and adoption, including responding to routine inquiries, filing, data entry, processing and issuing documents, receipting of fees/fine and other payments, and other general office duties including routine bookkeeping.
ExpandApply NowActive JobUpdated Today
claims processing jobs
FEATURED BLOG POSTS
Why is Time Management Important? 10 Crucial Importances of Time Management
We’ve all been there before. What starts as a relaxing evening scroll quickly becomes a full-blown binge. You blink, and it’s midnight - throwing off your entire next day before it even starts. And at its worst, this indulgence might leave you feeling behind on things you planned to finish that night. This is why time management is important.
Minimizing Candidate Renegs During the Hiring and Onboarding Process
Candidates reneging on job offers or during the onboarding process can be a frustrating experience for any recruiter. In a talent-driven job market, it’s common for candidates to have more than one job offer to consider. It becomes a race against time to see which organization can offer the best career experience, compensation, and circumstances that secure the right employees.
10 Reasons to Be on Time at Work
Being punctual at work may not be something you’ve given much thought to, but it’s the foundation for building a successful career. All of your technical or job-specific skills will be in vain if your peers and superiors can’t trust you to show up on time and do the work. In fact, Simon Sinek once famously said that
Recruiting in a Recession: Hard Truths That Talent Acquisition Experts Must Accept
The summer had economists from around the globe embroiled in a debate about a possible recession coming in the next few years (or months). As of October 2022, the U.S. Labor Department data put the current inflation rate at 7.7%. The recent layoffs in the tech industry are just the first of what is soon to be a string of cutbacks by companies looking to save costs. For recruiters, this means freezes in hiring and fewer openings. It will also include the uphill task of finding the best candidates for them from the coming influx of recently laid-off job seekers. Now is probably a good time to brace for tough times in the next few years in the talent acquisition industry. To survive and thrive recruiting in a recession, here are some hard truths you will need to accept.
10 Importancies of Setting Realistic Goals
We’ve all heard how important it is to set professional and personal goals. Developing and establishing goals keeps us motivated and moving forward in life. But not all goals are created equal. If you’re chasing goals that are too lofty, you’ll end up disappointed when you cannot reach them. Setting goals that are achievable and measurable is the key to success.
Email Etiquette Principles - Why is it Important
Why is email etiquette important? Let's imagine you're hiring for a new role, and you’ve just received the email below.
10 Reasons HR is Important to an Organization
"Nothing we do is more important than hiring and developing people."