Healthcare Claims Jobs

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200 Healthcare Claims jobs found on Monster.

Jobs 1 to 20 of 200
Under general supervision, Health Care Quality Assurance Specialists are responsible for the review and feedback of processes, to include medical claim adjudication, referencing documented policies and procedures. They perform analysis, provide reports to management and recommend appropriate actions. Health Care Quality Assurance Specialists conduct audits on associates’ performance and perform tr...
UnitedHealth Group Inc. Phoenix, AZ, 85002
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
UnitedHealth Group Inc. Greenville, SC, 29617
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
UnitedHealth Group Inc. Basking Ridge, NJ, 07920
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 Participating i...
UnitedHealth Group Inc. Detroit, MI, 48222
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
UnitedHealth Group Inc. Eden Prairie, MN, 55344
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
UnitedHealth Group Inc. Cypress, CA
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
UnitedHealth Group Inc. Basking Ridge, NJ, 07920
Config and Auto-Adjudication Specialist Mid-level position working with a team of healthcare professionals responsible for the creation and evaluation of requirements, solution creation, selection, and architectural consulting based on established standards and existing architecture. Drive and oversee the development of Solutions from inception to deployment and ensure they do not deviate from th...
Job Description: Sr. Health Care Claims Specialists analyze and adjudicate complex hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of complex claims, including claims involving hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudicatio...
DST Health Solutions is currently hiring for a strong claims manager. Prefer familiarity with CMS regulatory requirements, HIPAA knowledge and experience managing productivity and quality. Also prefer experience with capacity modeling, budgeting, and performance management. BPO Group Managers manage multiple operational departments comprised of one or more client relationships within the organizat...
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,...
Sr. Health Care Claims Specialists analyze and adjudicate complex hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of complex claims, including claims involving hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of complex claim...
CGI Group Inc. Bedford, TX, 76021
CGI is looking for an experienced healthcare Claims Supervisor who will have the following responsibilities: POSITION DESCRIPTION -Directs the efforts of others in the achievement of the strategic and operational objectives of the group he/she is accountable for -Responsible for ensuring the accurate and timely adjudication of claims and administers disposition according to contractual benefits...
Jawood Business Process Solutions Bloomfield Hills, MI
Date published: 1-Aug-2014 Genpact, Jawood Healthcare Solutions, is seeking experienced healthcare Claims Analysts. Claim Processors work in a fast paced environment and are tasked with multiple functions and responsibilities. Key Responsibilities: *Will perform complex healthcare payer claims processing *Identify and investigate system and benefit discrepancies and follow through with propos...
Enclipse Corp. Aurora, CO
Claims Research Technician Description: Responsible for non-routine Claims Department activities including, but not limited to, resolving large provider claims issues, recovery of funds from providers made in error and the adjustment of provider claims due to incorrect payments. Top Daily Responsibilities: 1) Perform research on claims inquiries and reprocess claims as needed 2) Recover funds from...
CGI Group Inc Bedford, TX
Position Description: CGI is looking for an experienced healthcare Claims Supervisor who will have the following responsibilities: POSITION DESCRIPTION -Directs the efforts of others in the achievement of the strategic and operational objectives of the group he/she is accountable for -Responsible for ensuring the accurate and timely adjudication of claims and administers disposition according ...
Xerox Corporation Tallahassee, FL
Description 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 se...
--Claims Research Technician - 4 month contract - 26/hr Description: Responsible for non-routine Claims Department activities including, but not limited to, resolving large provider claims issues, recovery of funds from providers made in error and the adjustment of provider claims due to incorrect payments. Top Daily Responsibilities: 1) Perform research on claims inquiries and reprocess claim...
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...
WellPoint, Inc. Cerritos, CA, 90703
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 ...

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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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