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Creates and submits a large volume of electronic HCFA claims via the 5010 837p format and UB04 claims via 837i format for SBH Level I services. Submits timely and accurate electronic and/or hardcopy 837p and 837i and/or hard copy claims for behavioral health and Medical initial, resubmission, and adjustments claims according tothe CFS billing schedules.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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10 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
$60,000 - $99,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The analyst will examine claims data using DataBricks, Python, SQL, and other data pipeline tools as needed. NTT DATA GCA seeks a data scientist with experience evaluating/analyzing healthcare claims and encounter data to assist with identifying healthcare financial, treatment and policy outliers.
$85,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Join Safelite as an Auto Glass Technician Trainee - the first step in becoming a certified auto glass technician on a nationally recognized team of expert installers! Join Safelite as an Auto Glass Technician Trainee - the first step in becoming a certified auto glass technician on a nationally recognized team of expert installers.
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We are seeking a Workers' Compensation Adjuster with a minimum of 3 years of experience in adjusting California workers' compensation claims. As a Workers' Compensation Claim Adjuster, you will be responsible for investigating and adjusting assigned claims.
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Individuals coming from positions as Licensed Insurance Agent, Real Estate Agent, Mortgage Loan Officer, Car Sales, Solar Sales Representatives, Inside Sales, Outside Sales, Direct Sales, B2B, B2C, Insurance Adjuster, Customer Service.
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May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) May produce reports and keep management informed of unpaid claims and claims pending follow-up.
$21 an hourFull-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Some specific areas of focus include pricing and underwriting risk predictive modeling, claims automation predictive modeling, sales/growth forecasting, econometric and predictive modeling, data mining applications for claims and competitive analysis, as well as evaluating new statistical methods and tools for potential use by State Farm data scientists.
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses’ analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
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We are currently seeking a Healthcare Claims Data Science Analyst to join our team in Phoenix, Arizona (US-AZ), United States (US). The analyst will use machine learning models to identify suspicious claims and episodes of care.
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Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
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Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing. Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
RemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Identifies researches, and resolves unbilled services on a weekly basis and escalates issues to Manager as needed to ensure 97% of claims are billed within 1 month of DOS. Minimum 4 years medical billing experience, which includes at least 2 years of electronic, claims submission required.
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At least one (1) year of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field. Access telehealth services at our BlueCare Anywhere kiosk, fuel up with healthy meals and snacks at our cafeterias and Work Perks Café, and make the most of our onsite fitness center by taking advantage of personal trainers, a nutritionist, Health Support programs, and daily group fitness classes, including spin, yoga, and Zumba.
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Water Damage Restoration Technicians are responsible for handling new and ongoing water damage claims with integrity and excellence. Duties will include response to emergency water damage claims and other restoration-related activities including initial job-site inspection, secure jobs fast, and perform structural drying per the IICRC standards.
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adjuster trainee claims jobs in Phoenix, AZ
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