Healthcare Claims Jobs
Tailwind Associates, an EOE, has an opportunity with our client in Columbia, SC for a QA Tester - Healthcare Claims Scope of the Project: Fully integrated testing for ACA initiatives across the Enterprise with specific focus on ICD-10 testing for implementation. ICD-10 represents a major improvement to medical coding practices (diagnosis and procedure codes) that impact both providers and payers r...
Description: We are looking for a Senior level executive to join our consulting practice to work with our key accounts on healthcare operational intiatives. The associate in this role would be a very strong healthcare operations leader with strong understanding of claims operations and the full end to end integrated process. You will have the opportunity to use your years of experience to make the...
Description: The Manager of Operational Reporting will supervise a team responsible for performing the development of enterprise-wide business reports based on the specific needs of our internal/external clientele to support the various areas of the health plan. This position requires a well developed understanding of the health insurance / health care industry, and in-depth understanding of healt...
The Sr. Healthcare Claims Auditor will collaborate closely with Client Services Director and staff to provide efficient and thorough healthcare claims auditing services to clients. Duties: Prepare claims sample and supporting documentation for the onsite claim review Conduct onsite claim sample review including all follow-up investigations Prepare drafts and final reports of the audit findings, in...
Program Manager - Healthcare Payer Claims In this role, you will have responsibility for managing the client relationship by serving as the on-site point of contact. Acting as a liaison between your client and operations team, you will have a direct impact to your client’s bottom line by providing revenue recovery solutions to reduce accounts receivable, improve case management efficiency and maxi...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. The Manager of Provider Services is responsible for the full range of provider relations and servi...
Accounting Principals has an immediate need for a few great Claims Reps in the Tampa area. The position is primarily responsible for answering escalated claim adjustment requests and resolving issues received through transferred provider phone calls. The associate will also be involved in customer service management and miscellaneous special project work. ESSENTIAL FUNCTIONS: Answer CSR claim inqu...
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)Responsibilities for this position are to:- Provide expertise or general claims support by reviewing, researching, inv...
Join Our Growing Team ! Essence Healthcare serves the people who consume care, the professionals who provide care and the organizations that manage care. Our unique health insurance business provides consumers comprehensive and affordable coverage focused on wellness and personal service. By innovating at the leading edge of reimbursement, collaboration and clinical informatics, Essence Healthcare...
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. Persons in this function are responsible for providing expertise or general claims support to teams...
A New Strategy In Claims Management Professional Medical Services (PMS) opened for business on July 1, 1991 with the dream of providing the highest quality third party small balance outsourcing services to Healthcare Providers at a comparable cost to self-management. Over the past twenty-one years of service to clients that dream has become reality. PMS has achieved a reputation throughout the hea...
CareersUSA, a leader in the staffing industry with over 31 years of experience, has another job opportunity for you: Our client is seeking a Reinsurance Claims Representative in Fort Washington, PA. Earn $28.35 per hour at this full-time, temporary position. Work 37.5 hours per week, Monday - Friday, 8:30 AM - 5:00 PM. Position Summary: The Reinsurance Claims Representative is responsible for the...
Description: Position Description: Candidate will be primary claims consultant based in the health plan. The candidate will act as a liaison between the health plan and Claim Operations ensuring that Bayou Health contract requirements are understood, built into our daily processes and executed upon. Candidate must ensure completed programs adhere to Bayou Health contract requirements. Candidate mu...
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. Primary Responsibilities: Coordinates, supervises and is accountable for the daily activities of bu...
Applicant must reside in the Charlotte, North Carolina area or surrounding suburbs. Job entails some overnight travel and must be available to perform Catastrophe - CAT duty. This position will be based out of our Charlotte, NC Office. Position Description • Minimum of 2-3 years of progressive 1st party personal line property claims experience as a claim representative which includes at least two...
Description Description At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a compa...
Job_Other_Compensation: Up to $15.00 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...
Yoh has a contract opportunity for a Medical Claims Negotiator to join our client in Newport Beach, CA. Job Responsibilities: - Negotiate fee for service hospital claims for both in and out of network claims - Manage a daily running inventory of negotiable claims - Review and prioritize negotiable claims based on processing criteria, timelines, interdepartmental demands, member benefits, regulator...
This position requires at least 5 years of healthcare claims processing experience, which includes benefit interpretation and administration. Strong communication skills with excellent analytical and problem-solving skills are required. This position requires the ability to self-manage in a fast-paced, detail-oriented environment. Candidate must be willing to assist customer service at peak times....
Description: General Job Description Positions in this family support claim processing functions, to include investigations, negotiating settlements, payments, research regarding eligibility, etc. Job Function Description Positions in this function are responsible for all related aspects of EDI claim system processes and claim business rules. Includes claims-related business and systems analysis....
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Is holistic health a good job area to go into?
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I took a job that by law requires I have a Masters Degree. Is graduate tuition tax deductable?
In January 2007 I took a position that required a Masters by the end of the year, I then enrolled in a graduate program. In July 2007 I took a job that by law requires me to have a Masters Degree....
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.
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