Healthcare Claims Jobs
Job Summary Operates in the capacity of a subject matter expert on topics including but not limited to encounter transactions/submission, recovery or claims editing requirements and regulations specific to states in which Molina operates. Researches, verifies and interprets state requirements relating to all aspects of the encounter, recovery and cost savings functions. Develops or modifies int...
Description: In this hands-on architect role, you will be directly accountable for driving the Healthcare Claim domain strategy and architecture for our Fortune 20 enterprise. Specific responsibilities will include the following: Leading the development of strategies and initiatives for the Claims domain Developing strategies that can enable business growth and increase revenue opportunities P...
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 limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Flexible, Friendly, Fast on your feet, That's a great start. Accurate, Accountable, Self-Directed, these traits can...
Healthcare Opportunities Dell is seeking Healthcare Claims Professionals to join our team in Springfield MO as part of this new and exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long term. The success of the candida...
POSITION TITLE: Claims Supervisor POSITION SUMMARY: Under the direction and supervision of the Director of Claims Administration, the Claims Supervisor will work independently and in conjunction with department to ensure ongoing compliance and client satisfaction. POSITION RESPONSIBILITIES: Supervise a small claims unit and evaluate staff performance. Facilitate periodic meetings with examine...
Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) Position Summary: The Sr. Healthcare Financial Analyst is responsible for...
We are seeking a Healthcare Claims Client Services Analyst to help our clients support a leading-edge claims processing system. Candidates must be detail-oriented with strong communication skills and a desire / willingness to learn. Candidates should also be able to effectively multi-task while remaining flexible to changes in priorities and deadlines. Required Skills: Previous software troubles...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Recruit GAAP Staffing New York, NY, 10114
With a local environment described as: Local, family-oriented and successful business-Recruit GAAP Staffing is searching for a full time Healthcare Claim Specialist for a company located in New York City, NY. The right candidate will be able to successfully perform the primary roles and responsibilities of: Check write for Medicaid payments, Assign supply codes, Submitting Home healthcare claims t...
NICE Actimize is currently seeking an experienced Business Analyst to join our dynamic and growing Professional Services team located in metro Atlanta. Help implement our Case Management tool in some of the largest Healthcare services companies in the world. Gather requirements, develop specifications, work with development and manage testing. Responsibilities Communicate with clients to gather...
Nov 24, 2014 CSC is seeking a Senior Computer Programmer to work on the Maryland Medicaid DHMH Support and Maintenance Contract for EDITPS and MMIS. This project is designed to provide on going technical and business support and maintenance of the Medicaid Management Information System II (MMIS II) and the Electronic Data Interchange Transaction Processing System (EDITPS). The Office of Operations...
DaVita, Inc. Denver, CO
Description GENERAL PURPOSE OF THE JOB The Enterprise Architect team’s overall responsibility is to set direction across the enterprise and ensure that project and program architecture aligns to this vision. The Enterprise Architect will work in collaboration with multiple business and IT stakeholders in creating direction that will align IT strategy to business strategy. The Enterprise Architec...
NTT Data, Inc Frankfort, KY
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. A group company within NTT DATA current...
Molina Healthcare Inc Long Beach, CA
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims A...
CareMore is a proud member of the WellPoint family of companies. As a leading healthcare system specializing in providing a complete, pro-active health care experience to Senior Americans, our vision is to significantly improve the lives of Medicare recipients by employing a dedicated staff of professionals who are passionate about changing lives. At CareMore, we are working together to transform ...
Continental Casualty Company Dallas, TX
CSC BALTIMORE, MD
Description CSC is seeking a Senior Computer Programmer to work on the Maryland Medicaid DHMH Support and Maintenance Contract for EDITPS and MMIS. This project is designed to provide on going technical and business support and maintenance of the Medicaid Management Information System II (MMIS II) and the Electronic Data Interchange Transaction Processing System (EDITPS). The Office of Operations...
Cognizant System New Jersey, NJ
Description The Company Cognizant (NASDAQ:CTSH) is a leading provider of information technology, consulting, and business process outsourcing services, dedicated to helping the world's leading companies build stronger businesses. Headquartered in Teaneck, New Jersey (U.S.), Cognizant has over 160,000 employees as of March 31, 2013. Cognizant is a member of the NASDAQ-100, the S&P 500, the Forbes...
Assurant Solutions Milwaukee, WI
Description Own your future...... with Assurant Health, a national market leader in health insurance with over 120 years of innovation and excellence. Join us at our headquarters in Milwaukee's vibrant downtown for a career that offers you an opportunity to use your talent to its fullest potential. The Business Systems Analyst II primary role is to support systems and staff by recommending and i...
DST Systems Birmingham, AL, 35202
Health Care Claims Specialists process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker's compensation,...
Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
Upload your resume and let employers find you!
It's that simple!
Insurance Career Tools
Healthcare Practitioners and Technical Workers, Other
$21,840.00 - $96,900.00
Typical Salary for Healthcare Practitioners and Technical Workers, Other
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Healthcare Practitioners and Technical Workers, Other
All healthcare practitioners and technical workers not listed separately.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Attention to Detail
Dealing with Complexity
Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
Popular Healthcare Claims Articles
Home-Based Health Services Businesses
Do you have what it takes to make it on your own as a medical transcriber, biller or claims assistance pro?...
Medical Billing/Coding Specialist Interview Questions
Are you interviewing for a medical-billing job? Make sure you're ready by preparing answers to these common job-specific interview questions.
Is Your Job About to Become Career Roadkill?
Will your job still be around a few years from now? If you’re in one of these seven occupations, your career might be over sooner than you’d like.
Resume Writing Help
Need resume help? Then check out our complete library of resume writing tips for all the advice you need to get your resume ready for your job search.
Sample Resumes by Industry
Writing a resume specific to your industry is a great way to be a star candidate. If you need help customizing your resume to your field, check out these resume examples for various careers.