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37 Jobs
MetroPlus Health Plan: Director of Application And Edi
MetroPlus Health PlanRussell, IA
Application development and maintenance and supportElectronic Data Interchange (EDI), for enrollment, claims, encounter, and other transaction types.
Manager of BH Medical Claims
MetroPlus Health PlanRussell, IA
Oversee the performance and quality of claims outcomes to ensure adherence to all contractual and regulatory requirements Job Description Expected to be the subject matter expert on Behavioral Health and Medical claims processing rules and guidelines.
jobsearcher.com/articlesClaims Specialist Certification
Knowledge of reading insurance company Explanation of Benefits and understanding rejections/denials and what to do to correct them.
What You Will Do Prepare and issue bills for reimbursement to individual and third party payers in an out-patient or medical office environment.
Director of Provider Contract Configuration - Health Plan
MetroPlus Health PlanRussell, IA
Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
Senior Benefits Configuration Coder
Metroplus Health Plan IncRussell, IA
Position Overview Develop and manage clinical benefit configuration process to ensure timely and accurate claims payment system configuration and claim processing.
Director of Provider Contract Configuration - Managed Care
MetroPlus Health PlanRussell, IA
Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
Senior Director of Claims - Enhanced Salary
MetroPlus Health PlanRussell, IA
Position OverviewThe Senior Director of Claims has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claims processing and claims service for MetroPlus Health Plan. The position will direct strategic analysis and accuracy of the claims process and ensure compliance with regulations andcontract requirements for Medicare, Commercial, Exchange and Medicaid service lines.
jobsearcher.com/blog
Resume Job Description Samples - 8 Tips to Follow

When looking for a job, your resume becomes a crucial element. From making a great first impression to showcasing all your achievements and potential, your resume has to portray your professional story in minutes.

Quality Assurance Analyst (Claims)
MetroPlus Health PlanRussell, IA
Position Overview This QA Analyst will be responsible for reviewing the Claims Processing Systems for configured benefits, and reimbursement methodologies.
Claims Call Center Representative
MetroPlus Health PlanRussell, IA
Position Overview MetroPlus Health Plan is looking for an experienced problem solver to join the Claims Operations Call Center team as a Customer Service Representative.
MetroPlus Health Plan: Project Support Specialist
MetroPlus Health PlanRussell, IA
Ensures the accuracy of the provider demographic profile by processing change requests to the Credentialing department and confirming updates in the CACTUS and PowerSTEPP software applications for the provider directory listings/submissions, claims payment, and credentialing.
Quality Assurance Analyst
Metroplus Health Plan IncRussell, IA
Position Overview This QA Analyst will be responsible for reviewing the Claims Processing Systems for configured benefits, and reimbursement methodologies.
jobsearcher.com/blog
How to Decline a Job Offer You Already Accepted

When you think about it, turning down a job offer is not the worst position you could be in. If you’ve been lucky enough to consider multiple job offers, well, then you’re lucky enough. 

Senior Director of Claims - Health Plan
MetroPlus Health PlanRussell, IA
Position Overview The Senior Director of Claims has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claims processing and claims service for MetroPlusHealth.
Director of Application And EDI
MetroPlus Health PlanRussell, IA
Application development and maintenance and support Electronic Data Interchange (EDI), for enrollment, claims, encounter, and other transaction types.
Claims Director
MetroPlus Health PlanRussell, IA
Position Overview The Senior Director of Claims has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claims processing and claims service for MetroPlusHealth.
MetroPlus Health Plan: Contracting Administrator
Metroplus Health PlanRussell, IA
Work with providers to resolve contract related issues, and coordinate resolutions with other internal departments, including Claims, Credentialing, Provider Maintenance, Network Relations, and others.
jobsearcher.com/blog
How to Practice Fair Chance Hiring for People With Criminal Records

Usually when you think of your dream hire, you think of someone who is respectful, trustworthy, reliable, and has sound judgment, right? As you envision your ideal candidate with these qualities, the last person you think of is someone with a criminal record.

Manager of BH Claims And Compliance
Metroplus Health PlanRussell, IA
Position Overview Under the general direction of the Claims Director/Deputy Director, the Manager of BH ClaimsandCompliance's task is to ensure consistent oversight of Behavioral Health Claims and Medical Claims.

claims claims processing jobs Company: metroplus health plan in Russell, IA

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