Healthcare Claims Jobs
Prospect Medical is searching for a qualified: Healthcare Claims Analyst SUMMARY This position will create solutions for a variety of business opportunities, or for segments of complex and difficult projects. Will develop the plan to design programs, code, and test modifications and enhancements to the existing system with a high level of reliability and execution speed. Will provide assistance...
Hewlett-Packard Company Palo Alto, CA
Insurance Healthcare Claims Clerical Representative - 1269099 Description Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudica...
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...
UnitedHealth Group Inc Basking Ridge, NJ
Position 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 opportun...
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...
Enclipse Corp. Oakland, CA
HEALTHCARE CLAIMS OPERATIONS BUSINESS ANALYST Duration: 5-month contract (W2) Location: Oakland, CA 94612 Job Number: 50035 Client: One of the country's largest health care and health plan providers Department: Insurance Company Claims Operations Stage of the Project: Production operations Scope of the Project/Top Daily Responsibilities: California remediation (DOI plan rejection) project ...
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...
Healthcare Claims Case Manager - 3-12 month contract - 25/hr Job Description: Position located within the Correspondence center, reporting to the Correspondence Center Team Lead or Correspondence Center Assistant Director. Responsible for handling grievances and appeals review process through investigation, preparation, effectuation, and presentation of appropriate materials for review. Partne...
Molina Healthcare Inc. Houston, TX
Job Description: Job SummaryResponsible for the accounting/finance functions within Finance department including preparation of Financial Statements, maintenance of GL, analysis and reconciliation of account balances, budget preparation and variance reporting & analysis, reinsurance analysis, PCP capitation processing and analysis, and state required financial reporting. Essential Functions* Pre...
NTT Data Frankfort, KY, 40601
Overview: 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 D...
DST Systems Birmingham, AL, 35202
DST Health Solutions is currently hiring for a strong claims manager with Medicare claims management experience. 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 mor...
Public Consulting Group Boston, MA, 02298
Overall Responsibilities: PCG is currently seeking a candidate to: Serve as central director of all aspects of Claiming Operations. Requires hands-on involvement. Direct all phases of claims processing to ensure that production standards, standard operating policies, key performance indicators, quality, and cycle times are developed and maintained. Analyze existing operations and implement the n...
Dell Inc Walnut Creek, CA, 94596
Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners, preferably with Epic Tapestry experience to join our team as part of this new 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, an...
Hewlett-Packard Company Oklahoma City, OK, 73113
Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to pr...
Xerox Tallahassee, FL, 32301
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...
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 our Michigan market! Position Summary: Primarily responsible for thorough review of managed care contracts and comparison of such contra...
Description: UnitedHealthcare in Kingston was awarded the Business of the Year 2014 by the Ulster County Chamber of Commerce. Don't wait to apply - we have training classes starting soon that are designed to set you up for success! You dream of a great career with a great company - where you can make an impact and help people. We can offer you just this. And with the incredible growth of our bu...
Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care companies, Unite...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. This may include participation in telephone calls or meetings with providers, clients and investigative team. Ensure adherence to state and federa...
Job Summary Directly supervises daily activities/tasks performed by non-exempt and/or exempt employees. Monitors operations of Claims Department unit and actively assists, or provides direction to, subordinates as required using standard policies, procedures and guidelines. Essential Functions • Identify, interview and select candidates for employment. • Track and report individual performance...
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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.
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