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In support of the launch of the claims processing capabilities, Evernorth Accountable Care is seeking an experienced Claim Operations leader to build a high performing team of claim analysts and operations personnel to support the business in ongoing claim operations.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Successfully manage and coordinate benefit programs (Health, Dental, Vision, Wellness, Section 125, 403(b) Retirement Plan, LTD, Life/AD&D, supplemental plans, and COBRA) for employees, including all employee communication, problem-solving, and claims resolution.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries. As the Claims Customer Service Director, this position will oversee all aspects of our Provider Customer Service area, which includes Provider Education and Outreach, Provider Customer Service (telephone and written inquiries), Self-Service Technology Strategy, and Customer Experience Strategy.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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2) implementing documentation and source control using GIT-backed Azure Dev Ops; (3) constructing complex queries using SQL to pull data from a claims processing database; (4) programming language C# for application and API development using OOP concepts; and (5) unit testing frameworks (nUnit, SpecFlow, MSTest, xUnit.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This is achieved by: Greeting customers by phone or in-person Educating customers about the collision repair process including insurance claims information, processing, and payment procedures.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Description Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries. Description Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The position requires a solid understanding of the entire revenue cycle process from patient registration to billing, coding, claims processing, payment posting, and follow-up activities.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Great understanding of healthcare topics such as claims processing, EHRs, medical billing and coding and physician reimbursement models. We are hiring a Sr Director/Vice President of Sales who deeply understands the power of our proprietary technology, and is passionate about enabling more practitioners in delivering top-notch value-based care via our platform.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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ADARs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
RemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Responds to all Plan and vendor OPL inquiries including ones submitted via FEP Hub. Directs and executes activities for the internal Medicare Primary Denial Workgroup to include initiation of new central claims processing controls, in response to OPM and Office of Inspector General (OIG) audit findings, and management of the long-term effectiveness of those changes.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The Accounts Payable Claims Specialist is primarily responsible for processing payments and denials for claims and invoices related to patient care. Ensures all claims and invoices receive the required clinical approval/denial for appropriateness of payment by a Director of Clinical Services (or appropriate clinical designee) before processing.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Responsibilities include: interacting with visitors, data entry, answering phone calls, assigning work orders, scheduling work orders, creating production and scheduling reports for field operations, preparing client reports, keeping all data current and accurate and other advanced roles including Third-Party Claims processing.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Submits warranty claims and accurately tracks to ensure timely processing of the warranty. Includes providing documentation required for payroll processing and filing original expense receipts.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Analyze and resolve specific billing edits/errors delaying claims processing. Assist with fee schedule negotiations and value-based care initiatives. Analyze and resolve specific billing edits/errors delaying claims processing.
ExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Monitor and maintain key processes; claims processing and supporting our underwriting team at key renewal dates initially. Data Engineer ( SQL and Azure) | Hybrid | CTH. Monitor and maintain key processes; claims processing and supporting our underwriting team at key renewal dates initially.
Full-timeExpandApply NowActive JobUpdated 25 days ago
claims processing jobs in Nashville, TN
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