Medical Insurance Jobs

... for a self-motivated Patient Access Insurance Specialist to join our team. ... patient's information such as demographics, insurance/coverage and clinical information needed to ... determine patient's eligibility, coverage, and..

Submit claims and perform follow-up with insurance companies/payers. Works aged accounts to ensure claims data is accurate and complete. Previous medical billing experience is required. Epic and CAH/RHC experience preferred. Very ..

... Summary Within designated authority, handles medical management claims with limited supervision. ... and Responsibilities Handles first party medical benefit claims, including fatalities and ... related correspondence and reports, obtains..

... Reimbursement Specialists for appropriate action.ESSENTIAL FUNCTIONS:Medical Accounts ReceivableDeposit/Cash Posting ExperienceResearch/analyze/ correct ... correct complex cash posting issuesRead/Understand Medical Explanation of Benefits (remit)Contact Medical Payors regarding complex payment issuesDocumenting .....

... denial management), technology, patient registration, insurance verification and health information management. ... pertinent account information and verifies insurance coverage. Duties (included but not ... and accurate • Verify all..

... needs of approximately 40 million medical members nationwide. Anthem, Inc. is ... review to a Pharmacist or Medical Director. Responsible for the identification ... call center experience strongly preferred...

Senior Actuarial Analyst Job Description Job ID 1086468 Date posted 01/25/2018 Category Actuarial Services Organization Centene Corporation Schedule Full-time Description: Job Profile Summary Apply knowledge of mathematics, probability, statistics, principles of ..

Billing & Reimbursement Specialist II Show me jobs like this one Job Ref: REQ20014875 Employer: Express Scripts City: Warrendale State: Pennsylvania (PA) Position type: Full-Time POSITION SUMMARY Follows standard operating procedures ..

... supervision, provide office based telephonic medical case management with emphasis on ... work planning, coordination of quality medical care on claims involving disability ... on claims involving disability and..

Join our Growing Team - Multiple Positions Available! POSITION SUMMARY Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to enhance and improve member ..

Coordinated Health (CH) is a privately held acute-care hospital network in eastern Pennsylvania and western New Jersey. CH’s focused regional network has 1,400 employees at 18 sites with an ambulatory-based continuum ..

POSITION SUMMARY Reviews and adjudicates complex, sensitive and/or specialized claims in accordance with claim processing guidelines. Responsible for complex issues, handles customer service inquiries and problems. Fundamental Components: Reviews pre-specified claims ..

... cash control policies & procedures.Secures medical necessity checks/verification in accordance to ... Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes ... clearance work lists activities, obtains..

Associate's degree is preferred. Summary: Under the direction of the Manager, Payor Intelligence, the Claims Reimbursement Specialists responsible for review of managed care contracts against healthcare claims to identify underpayments. This ..

ProfessionalPosition Purpose: Assist in financial analysis, pricing and risk assessment to estimate outcomes. Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes Assist with developing ..

Truman Medical Centers, a two-hospital, 600-bed, not-for-profit healthcare system, is the largest and most comprehensive safety net healthcare provider in Jackson County and Kansas City, Mo. TMC serves as the pri­mary ..

POSITION SUMMARY Typically manages multiple managers and their work teams and/or most complex projects through to implementation. Sets strategic direction for team and/or complex projects and or programs (e.g., national in ..

... the unit, registering patients, verifying insurance and collection of copayments. In ... Associate will assist in the medical and nursing staff in the ... Friday, Days/Evenings ATTRIBUTES Knowledge of..

Avalon Health Care is seeking a Regional Clinical Reimbursement Specialist  to join our  team in Eastern Washington!Today’s aging population means there’s a growing demand for healthcare professionals in post-acute care, and ..

... years of experience as a Medical Claims Examiner Working knowledge of ... Claims Examiner Working knowledge of Medical Terminology, ICD9, CPT4, UB92 / ... skills Experience in contract interpretation..

Position Description Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly ..

... as assigned, manages the Hospital-wide insurance portfolio, assists with administrative maintenance ... ancestry, physical or mental disability, medical condition (including cancer or a ... pregnancy, childbirth, breastfeeding or related..

Position Summary: Oversees medical care delivery system, including development ... policies and procedures for all medical services. Establish standards for evaluating ... providers. Responsible for determinations of medical necessity and..