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Claims Validation Jobs

27 jobs

West’s Cost Containment team is looking for Insurance Claims Validators (Medical Claims Auditor) in Tinley Park, Illinois. In this role you will analyze medical claims data to discover incorrect payments (overpayments) and work with a team of recovery specialists to collect reimbursements on behalf of the largest healthcare payers in the world. A typical day consists of data mining (research and ...
West’s Cost Containment team is looking for Insurance Claims Validators (Medical Claims Auditor) in Sherman, Texas. In this role you will analyze medical claims data to discover incorrect payments (overpayments) and work with a team of recovery specialists to collect reimbursements on behalf of the largest healthcare payers in the world. A typical day consists of data mining (research and investi...
LEAD ADMINISTRATOR, MASTER DATA Company: Welch Allyn Requisition #: 6588 Job Category: Customer Srvc. Location: Skaneateles, NY, US Required Experience: 4 - 7 years Required Education: Associates Degree Travel Percentage: 0 Relocation Provided: Position Overview: The Contract Master Data and Claims Administrator role is responsible for the quality and integrity of contract data. This inc...
Goodman Manufacturing Goodman Manufacturing provides equal employment opportunity to all employees and applicants regardless of a person's race, religion, color, sex, age, national origin, sexual orientation, disability, veteran status, genetic information, or any other legally protected status. The Company does not permit discrimination or retaliation based on such legally protected status. The ...
Work Shift: DAY Work Week: M - F Company Profile Houston Methodist (HM) is one of the nation’s leading health systems and academic medical centers. HM consists of five hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center and six community hospitals throughout the greater Houston metropolitan area. HM also includes a research institute, a...
Description Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one...
Warranty Communication – Hotline/Live Chat/Labor Ops (LOP) Agent Location : Center Line, Michigan, United States Job Type : MSX Internal Job Category : General Job Id: 15-1026-0014 Job Description MSX International is currently seeking a Hotline/Live Chat/Labor Ops (LOP) Agent. The successful candidate’s primary roles and responsibilities include the following but are not limited to: The Ho...
Position Description: The Used Vehicle Warranty Service Coordinator will administer extended warranty coverage to approximately half of the 12,000 retail used vehicles Ryder sells annually. It is anticipated 6,000 vehicles will be under coverage at any given time. The Used Vehicle Warranty Service Coordinator will use customer service skills, administrative abilities, Ryder's business rules, mech...
The Used Vehicle Warranty Service Coordinator will administer extended warranty coverage to approximately half of the 12,000 retail used vehicles Ryder sells annually. It is anticipated 6,000 vehicles will be under coverage at any given time. The Used Vehicle Warranty Service Coordinator will use customer service skills, administrative abilities, Ryder's business rules, mechanical knowledge, failu...
Regional Technical Service Manager - Dallas, TX Goodman Manufacturing Company, L.P. About Goodman: Houston-based Goodman Manufacturing Company, L.P. is a leading supplier of heating, ventilation and air conditioning (HVAC) products for residential and commercial use and is a member of Daikin Industries, Ltd. . Goodman's products are predominantly marketed under the Goodman® and Amana® brand nam...
1 year of experience required POSITION SUMMARY/PURPOSE Maintains complete and full knowledge of payer(s) assigned to ensure accurate billing and collection of the claims. Validates that the District is being reimbursed by the payer in accordance with government or contract terms. QUALIFICATIONS Education Preferred: High school diploma or equivalent Experience Required: Prior Patient Accou...
Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 206 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of inpat...
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 206 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a r...
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 206 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a r...
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 206 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a r...
Description Endo International plc (NASDAQ: ENDP) (TSX: ENL) is a global specialty pharmaceutical company focused on improving patients' lives while creating shareholder value. Endo develops, manufactures, markets and distributes quality branded and generic pharmaceutical products as well as over-the-counter medications though its operating companies. Endo has global headquarters in Dublin, Irela...
L’Oréal, the world leader in cosmetics, is synonymous with beauty, innovation and scientific excellence in more than 130 countries. As the leader in the beauty industry, our success is a direct result of our unequaled employees. L’Oréal is always looking for talented and ambitious minds to help build our beauty into something even better. Leadership also means innovation and quality. We offer...
Job ID 177876BR Posting Title Government Rebates amp; Dispute Resolution Manager Division PHARMA Business Unit US GEN MED Country USA Work Location East Hanover, NJ Company/Legal Entity Novartis Pharmaceuticals Functional Area Audit amp; Finance Job Type Full Time Employment Type Regular Job Description JOB DESCRIPTION: Primary responsibilities are to ensure management of prompt and acc...
Input/validate customer purchase orders (PO’s) into Oracle, validating all data items (p/n’s, price, customer names, addresses, request date, etc.) within specified time (24-48 hours) of receipt. PO’s may include hardware, software, license keys, education, professional services, and support. Marketing Claim validations Acknowledge order receipt to customer via email Respond to customers with any ...
Who is a DaVita Billing Supervisor? They are a passionate leader who believes in empowering teammates to make an impact. They have always enjoyed tackling difficult problems and believe that the best way to solve them is through collaborative, team efforts. They enjoy charting the course and shaping the big picture and also can get down into the details, side by side with teammates when needed. T...