Claims Jobs in Appleton

Hope you are doing well ! Please just go through the below job Description, if interested please share your updated resume. Role: Warranty Management Functional Consultant Location: Remote Duration: Long Term Contract Job Description: Candidate should have expertise in followin More...

Description: Onsite Job Description: App Dev Banner Redistributions We are looking for an individual to backfill our developers and work on help tickets. The following are specific skills we are looking for: Database Must be able to create PL SQL packages, procedures, f More...

3 Months Contract Monday to Friday - 8 hours per day Experience with hospital Insurance claims, follow-up and denials/resolutions Roles & Responsibilities Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist More...

Facets Benefits Configuration AnalystRemoteC2H role Primary Responsibilities: Understand how various components in Facets fit together so claims pay correctlyUtilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements More...

Description: The Freight Auditor will be responsible for investigating freight shipments and invoice payment information against Medtronic contractual obligations and rates. The goal is to identify billing discrepancies and verify overpayments made by Medtronic and engage and partner More...

Work Location Options:100% Remote (EST time zone)Phoenix Arizona (AZ time)Interview Process: 2 rounds via video. A technical architect from the team will interview and the questions will be technical as we are looking for someone to join and get started.Project: Value Based Reimburse More...

Needs someone local to DMV as they will have team meetings once per week. UCP (DC) or MD office. Typically in the DC office. Looking for someone to support Salesforce Service Cloud application which helps customers on their member calls and calls coming in from providers as well. The More...

Facets Sr. Provider Pricing Configuration AnalystRemote C2H role Primary Responsibilities:Reading and interpreting provider contracts, or other pricing artifacts, to complete provider configuration design templatesCreating standard NetworX templates within Facets and on paper as a gui More...

Job Title: QNXT Provider Analyst Contract Duration: 3 months with potential for extension Location: 100% remote Visa Restrictions: None (however H1Bs must be held by your firm) Top 3 Must Have Skills: Hands on QNXT experience with heavy emphasis on Provider Data/Provider Contr More...

Job Summary:The Vendor Performance Analyst will support the Department for Employee Trust Funds (ETF) with the development and deployment of processes to track, monitor, evaluate, and analyze health plan and other vendor performance measures and deliverables. In addition, the position More...

The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and Department of Human Services (DHS). OIS provides the technology systems and services that support more than 18,000 OHA and DHS agency staff at local offices and facilities More...

The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS). OIS provides the technology systems and services that support more than 18,000 OHA and ODHS agency staff at local offices and fa More...

The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and Department of Human Services (DHS). OIS provides the technology systems and services that support more than 18,000 OHA and DHS agency staff at local offices and facilities More...

Salesforce QA Location: Washington, DC. on-site 1 day a week Rate: $60/hr C2C 12 months contract 3+ years Salesforce Testing Service Cloud (must have), Sales Cloud (nice to have) API Testing Automation Testing BDD/Gherkin, Selenium, Java SQL skills Good More...

Title: Billing Manager Location: Salt Lake City, UT Type: Fulltime (HYBRID) The Purpose of Your Role The billing manager is responsible for leading and planning billing operations. They are responsible for designing, implementing, and enforcing policies and procedures and streamlin More...

Senior DevOps EngineerHorsham PAHybrid We are searching for a Senior DevOps Engineer to help mature our continuous integration and delivery of software. We need your help to support our current CI/CD platform and to shape, design, and drive the future way in which software is built More...

Sr. BizTalk Developer - HealthCare Claim Domain 12 Months Contract 100% Remote Looking for consultants with recent experience in EDI Integrations Formats: 837, 835,277 in their current project Consultants should have worked with many HealthCare Claim Clients Consultants local More...

Location: Hybrid - Horsham, PA Interview Process: 2+ roundsDescription:We aren't looking for just the typical Senior DevOps Engineer. We are seeking an innovative technology "Evangelist" to help transform Medicare & Retirement's Insurance Solutions IT organization!We are searching More...

Safety and Environment Engineer The Autoliv Promontory (PRO) Facility Safety and Environment Engineer will be responsible for maintaining a healthy, safe, and productive workplace, including communicating and enforcing standards and procedures, training workers, and representin More...

Title: Facets Test Analyst Contract Duration: 11 months Contract-to-Hire Location: 100% remote, must be willing to work EST hours Visa Restrictions: None, H1Bs must be held by your firm Top 3 Must Have Skills: 3-5 years of healthcare claims processing/benefit configuration experi More...