Claims Processing Jobs in Douglas Qld
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Mra Adjustment Analyst
P3 Health Partners
People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health ca...
Director Mra Analytics
P3 Health Partners
People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health ca...
Specialist, Provider File I-2
Bluecross Blueshield Of South Carolina
SummaryJob Description SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield...
Associate Investigator
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThe job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or fun...
Victim Claims Specialist I
Sjgov
IntroductionThis examination is being given to fill 1 vacancy in the District Attorneys Office and to establish an eligible list to fill future vacancies. Please be advised that Human Resources will only be accepting online applications for this recruitment. Resumes and paper applicationswill not be...
Business Systems Analyst
Vdart Inc
Job Title: Business Systems Analyst Location: Woodland Hills CA (Onsite) Job Type: Contract Tax Terms: C2C W2 Responsibilities: Lead the planning execution and delivery of projects related to insurance claims systems tools and processes. Analyze clinical operational and revenue cycle workflows...
Sr. Internal Auditor
Jobs For Humanity
Help protect integrity strengthen compliance and improve how we serve our members.At Liberty Dental Plan our Internal Audit team plays a critical role in ensuring accuracy compliance and operational excellence across our organization. We are looking for a detaildriven analytical Sr. Internal Auditor...
Unclaimed Property Specialist I
The South Dakota State Government
Job ID: 35654 Unclaimed Property Specialist I Agency: Office of the State Treasurer / Division of Unclaimed Property Location: Pierre Salary/Grade: $26.44 per hour depending on experience and qualifications minimal travel required Pay Grade EH99 Closing Date: Open Until FilledSend Cover letter and r...
Provider Relations And Contracts Service Specialis...
Healthpartners
DescriptionHealthPartners is hiring a Provider Relations and Contracts Service Specialist. This position is the key resource to assigned primary care groups specialty care groups hospitals and/or other medical providers (providers) participating with the organizations health plan networks. To maximi...
Provider Relations And Contracts Service Specialis...
Healthpartners
DescriptionHealthPartners is hiring a Provider Relations and Contracts Service Specialist. This position is the key resource to assigned primary care groups specialty care groups hospitals and/or other medical providers (providers) participating with the organizations health plan networks. To maximi...
Auto Tpa Manager
Coaction Specialty Insurance Group
At Coaction were a unique mix of leaders achievers thinkers and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.The Co/Action TPA Manager plays a critical role in...
Em Healthcare Minneapolis
Infosys
Job DescriptionInfosys seeks aClient Partnerfor our Healthcarevertical. The person will lead all client interfaces within the assigned account scope and along with the Senior Client Partner / Group Managers build an account plan for the client management. Usually the Client Partner handles a single...
Claims Account Specialist
Diversified Benefit Services
Benefits Administration Financial Accuracy High-Volume ProcessingIf you have experience in Accounts Payable Accounts Receivable Payroll Processing Banking Operations HR Employee Benefits or Insurance Claims your background aligns exceptionally well with this opportunity.We are hiring a Claims Acco...
Claims Account Specialist
Diversified Benefit Services
Benefits Administration Financial Accuracy High-Volume ProcessingIf you have experience in Accounts Payable Accounts Receivable Payroll Processing Banking Operations HR Employee Benefits or Insurance Claims your background aligns exceptionally well with this opportunity.We are hiring a Claims Acco...
Quality Medical Auditor Inpatient Coding
Bluecross Blueshield Of South Carolina
SummaryPerforms validation reviews of Diagnosis Related Groups (DRG) Ambulatory Procedure Codes (APC) and Never Events (serious preventable medical errors) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a...
Claims Edi Helpdesk Representative
Radcube
This is a remote position.Claims EDI Helpdesk Support Indiana Medicaid (Remote)Employment Type: Full-TimePosition OverviewOur client is seeking a dedicated and customer-focused professional to join our Claims EDI Helpdesk team supporting the Indiana Medicaid account. This fully remote role invol...
Data Integration Engineer
Martin's Point Health Care
Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...
Engineering Management Director Cigna Healthcare
Cigna Group
At Allegiance our engineers make a meaningful impact by building and modernizing platforms that support our clients and their members. As a Software Engineering Director you will play a critical role in shaping the future of our core application platformsbalancing operational excellence today with t...
Customer Service Representative
Diversified Benefit Services
Customer Service Representative Benefit Plans & Claims ProcessingOpening created by internal promotion come grow with us!Are you the kind of person who can turn a benefits question into a clear confident answer Do you thrive on the phone and take pride in precision If so wed like to meet you.Were...
Product Owner Manager Cigna Healthcare
Cigna Group
Join a team where product leadership people development and business impact come together. As a Product Owner Manager you will lead and develop Agile Product Owners while shaping product strategy that delivers meaningful outcomes for customers businesses and technology partners. This role blends han...