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MEDICAL CLAIMS BILLER-UNPOSTABLES

Unpostables management-researching and resolving records that have not been matched to athenaNet related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges). Reconcil...

CompanyPrivia Health
AddressUnited States
CategoryHealthcare
Job typeFull-time
Date Posted 2 weeks ago See detail

Medical Claims Biller-Unpostables

Privia Health

United States

Unpostables management-researching and resolving records that have not been matched to athenaNet related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges). Reconcil...

2 weeks ago seen See more...

Electronic Medical Record Clinical Systems Analyst Senior

Mclaren

Grand Blanc, MI

Responsible for documenting clinical and business processes/procedures and making recommendations for upgrades/improvements. Responsible for the on-going maintenance, testing, development of workflows, workflow analysis, technical...

7 days ago seen See more...

Senior Medical Claims Examiner/Auditor

Jobot

Los Angeles, CA

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

2 weeks ago seen See more...

Medical Claims Auditor

Bcforward

Aiken, TX

Carefully examine Medical Claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. Apply appropriate coding guideli...

2 weeks ago seen See more...

Quality Analyst - Medical Bill Review (Remote) 2023-1273

Managed Care Advisors

Orlando, FL

* Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols. Citizenship * Prior to hiring and training...

a week ago seen See more...

Business Analyst - Coordinated Care (Medical Center)

Houston Methodist Hospital

Houston, TX

Communicates (oral and written) effectively with customers, vendors, colleagues, and management about services, contact information, system availability, and information. Acts as liaison between the customer and the technical team...

a week ago seen See more...

Healthcare Claims Coding Analyst

1199Seiu United Healthcare Workers East

New York, NY

Interact with the medical claims processing program's (QNXT) production department to perform pre and post testing. ), track and trends results, and recommend corrective action for problems, irregularities and anomalies Pe...

2 weeks ago seen See more...

Medical Insurance Claims Representative

Hca Healthcare

Denver, CO

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

2 weeks ago seen See more...

Technical Analyst -Medical City -Lewisville

Medical City Lewisville

Lewisville, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

2 weeks ago seen See more...

Senior Medical Information Analyst - Cross Country

Johnson & Johnson

Delaware, United States

Answer inquiries from health care professionals and internal customers concerning the safe and effective useof all products marketed by J&J Innovative Medicinein a timely manner.Handle advanced scientific inquiries Conduct in-d...

3 weeks ago seen See more...

Claims Compliance Remediation Analyst (Hybrid)

Tandym

Jersey City, NJ

Support the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other key components are compliant. Partner with the Office of Corporate Compliance...

3 weeks ago seen See more...

Tech Analyst II Help Desk Menorah Medical Ctr

Menorah Medical Center

Leawood, KS

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

3 weeks ago seen See more...

Medical Claims Specialist/ Appeals

Innova Pain Center

Pearland, TX

$17 - $19 an hour

Billing and Coding Claims for inpatient and outpatient services. Work Aging Claims appeals and follow up. Data Entry. Medical Records request for processing of claims. Scanning EOB's and ERA's. Returning patient billing phone call...

4 weeks ago seen See more...

Medical Claims Review Coordinator-San Antonio, TX

Optum

San Antonio, TX

$43.9K - $55.6K a year

Research and resolve UM inventory accordingly to meet productivity and quality standards to include:. Claims reports with reconciliation needs. Information received through Right Fax. Information received through email. Or any oth...

4 weeks ago seen See more...

Hospital Claims Analyst

Revecore

Remote

$35.3K - $44.6K a year

We offer paid training and incentive plans. Our medical, dental, vision, and life insurance benefits are available from the first day of employment. We enjoy excellent work/life balance. Our Employee Resource Groups build communit...

4 weeks ago seen See more...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

4 weeks ago seen See more...

Supervisor Billing and Follow-up (Hospital Medical Claims Billing) - PFS (Remote)

Trinity Health

Michigan, United States

$26.88 - $40.32 an hour

Monitors and tracks colleague activities against established performance standards and provides immediate feedback to achieve performance improvement.Other duties as needed and assigned by the Manager.Maintains a working knowledge...

a month ago seen See more...

Claims Analyst

Primma, Llc

Rochester, NY

$62,500 - $100,000 a year

Follow claims handling guidelines for all facets of claims handling, including but not limited to, claims documentation, diary, reserve adequacy, data entry, electronic filing of correspondence, coverage investigation, participati...

a month ago seen See more...

Medical Claims Consultant 3

Mitchell International

Remote

$58,345 - $83,200 a year

Experience: Mitchells Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer. Written Abilities: Proficient grammar, sentence structure and written...

a month ago seen See more...

RN Claims Analyst - Salem, VA

1Stop Recruiting

Salem, VA

Competitive Compensation. Hourly Rate: $60-80K. Monday-Friday Schedule. Health, Dental, Vision Insurance. PTO, 401K with generous match. Conduct detailed reviews of UBO4s, itemized statements, and automated system analyses, includ...

a month ago seen See more...

Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

a month ago seen See more...

Manager Rating/Claims Analysts

Elevance Health

RICHMOND, VA

Sets direction for the team and associated systems. . Acts as a liaison to other teams in regards to systems work and provides subject matter expertise. . Works with business partners to address obstacles and communicates both fe...

a month ago seen See more...

Medical Claims/Risk Mgr / Admin Legal

Hartford Healthcare

Hartford, CT

Full time, in-office position, located in Hartford.Position Responsibilities: Interacting with claimants, insureds, attorneys, risk management and underwriting. Verifying coverage information and/or resolving cov...

a month ago seen See more...

Senior Claims Analyst, D&O

Riverstone

Rockville Centre, NY

Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving Directors' & Officers (D & O) including analysis of coverage issues, establishment of adequate reserves, and the resolution and cl...

a month ago seen See more...

Senior Claims Analyst, D&O

The Riverstone Group

Manchester, NH

Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving Directors & Officers (D & O) including analysis of coverage issues, establishment of adequate reserves, and the resolution and cl...

a month ago seen See more...

Senior Claims Analyst, D&O

Riverstone

Manchester, NH

Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving Directors' & Officers (D & O) including analysis of coverage issues, establishment of adequate reserves, and the resolution and cl...

a month ago seen See more...

Senior Claims Analyst, D&O

The Riverstone Group

Lynbrook, NY

Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving Directors & Officers (D & O) including analysis of coverage issues, establishment of adequate reserves, and the resolution and cl...

a month ago seen See more...

Complex/Assumed Reinsurance Claims Analyst

The Riverstone Group

Manchester, NH

Handles moderate to complex assumed claims (and those with increased financial risk to RiverStone Affiliates) effectively. Mentors and guides less experienced Assumed Claims Analysts. Displays strong review and analysis of complex...

a month ago seen See more...

Complex/Assumed Reinsurance Claims Analyst

Riverstone

Manchester, NH

Handles moderate to complex assumed claims (and those with increased financial risk to RiverStone Affiliates) effectively. Mentors and guides less experienced Assumed Claims Analysts. Displays strong review and analysis of complex...

a month ago seen See more...

Claims Analyst

Crum & Forster

Glastonbury, CT

$47.5K - $60.1K a year

Corresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to support claim decision. Serve as a customer advocate in all interactions to provide an ou...

a month ago seen See more...

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