Healthcare Claims Jobs

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1000+ Healthcare Claims jobs found on Monster.

Jobs 1 to 20 of 1321
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) Join us to conduct and manage outcomes of various studies that include analy...
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) Join us to conduct and manage outcomes of various studies that include analy...
RESPONSIBILITIES: Our Long Beach, CA client is seeking a Program Manager/Director level with healthcare and claims experience. As opposed to responsibilities around 1-2 projects as PM will be responsible for whole portfolio of projects related to claims call center, configuration, enrollment. Experience could include working with call center, configuration changes, provider side, and enrollment. T...
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 ma...
Genpact, Jawood Healthcare Solutions, is seeking experienced Healthcare Claims Analysts. Key Responsibilities: • Will perform complex healthcare payer claims processing • Identify and investigate system and benefit discrepancies and follow through with proposed resolution. • Identification and implementation of process improvements and efficiencies • Exhibit a spirit of teamwork and contribute ide...
DescriptionImplements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that policies and procedures are maintained while adhering to state and federal regulations. Qualifications Current CA RN license 3+ years experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred Requires comprehensive knowled...
Job Summary Create and maintain reports supporting all functional areas of claims production, adjustments, recoveries, auditing, compliance and KPI. Ability to work closely with all levels of management to determine business requirements. Proactively perform analysis of data and provide management with concise summary and recommendations if appropriate. Familiar with software life cycle and workin...
Title: Medical Claims Job in Clifton, OH Summary: We have a job opening for a Medical Claims Professional in Clifton, OH. This position will be responsible for processing claims. The Medical Claims Professional job duties and responsibilities include: • Perform routine and complex processing of medical claims • Strong knowledge of ICD-9/10 Codes • Knowledge of Medicare/Medicaid • Ensure claims are...
Job Summary Perform daily audits on processed claims to ensure payment accuracy. Compile and report audit findings. Essential Functions • Collects claims sample data from system to perform audits. • Evaluates the adjudication of Medicaid claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste,...
ORGANIZATION OVERVIEW: Commonwealth Care Alliance is a rapidly growing nonprofit organization providing integrated healthcare and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcom...
Genpact, Jawood Healthcare Solutions, is seeking a Business Systems Analyst. SUMMARY: • 3 years Facets experience • 3 years EDI Gateway • 3 years Claims experience • EDI and Claims modules of Facets expertise required • Needs to understand the process of claims from the inbound EDI claims transaction (837I, P) through the Facets claim adjudication to the outbound EDI transactions (835). Must have...
Bottom Line Systems, Inc, is a health care consulting company, specializing in identifying and collecting managed care underpayments and denials for our customers since 1996! We are currently searching for top talent to join our growing team of professionals in Charleston and Greenville, South Carolina, working onsite our our client location. All interested candidates are encouraged to apply for t...
We are seeking a talented and innovative Claims Associate Trainee who is interested in working in a dynamic, fast-paced environment. If you are focused on technology, are attentive to detail, and provide solid customer service, then our team might be right for you! The Claims Associate Trainee is responsible for the communication, coordination and administration of Workers’ Compensation claims in...
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. The candida...
Aspen Dental is on a mission to give America a healthy mouth. As the nation’s premier dental services organization, we provide expert business, marketing and administrative support to the fastest growing, branded network of dental practices in the country. We take the load off of practitioners to free them up to do what they do best: practice dentistry. Together, we put patients at the heart of ev...
Description: 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 limitless opportunities for advancement. Join us and start doing your life's best work. Our claims operations, including our Senior Claims Business Process Consultants, are the focal poin...
Description: 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 limitless opportunities for advancement. Join us and start doing your life's best work. Our claims operations, including our Senior Claims Business Process Consultants, are the focal poin...
Job Summary: Claims Analysts are responsible for analyzing, auditing, and investigating their assigned client’s A/R process in order to ensure quality, resolve errors, and provide strategic solutions. Essential Responsibilities & Duties: Develop a solid understanding of assigned client’s process in order to strategically review and analyze their A/R functions. Conduct regular audits of representat...
My client located in Downtown Boston, MA is seeking a Sr. Claims Project Manager (PM) for a contract to hire opportunity. This position will pay an hourly rate until it converts over to Full Time Permanent. Salary when the job converts over is around $115-120k base plus 15-20% bonus. Sr. Claims Project Manager This is a well established Global company. Healthcare experience is a big plus. Join a c...
Job Description: Well known Healthcare Company is looking for a Claims Data Entry Rep. In this role, you will track claims receipts, key-in claims daily into system, verify member eligibility, open and date stamp mail, and heavy spreadsheets. Must have healthcare and claims background for this position! Must be proficient with Word and Excel 2007. Email resume as a word attachment to Paris. Also,...

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Insurance Career Tools

Healthcare Practitioners and Technical Workers, Other

Salaries

$21,840.00 - $96,900.00
Typical Salary for Healthcare Practitioners and Technical Workers, Other
(120 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
25%
Some College Coursework Completed
20.7%
Master's
20.7%
Associates
16.3%
Certification
5.4%
Doctorate
4.3%
Vocational
3.3%
High School
2.2%
(92 Respondents)
Source: Monster.com Careerbenchmarking Tool

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