JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling
Director, HMO Claims Services - 262004305 Description This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
HCSC is seeking a Senior Analytics Consultant to leverage Tableau, SQL, Python, and R to support IL Commercial HMO and Marketplace stakeholders. This role oversees NCQA analytical support and advisory services for internal and external leaders. The
# Senior Analytics Consultant - HMO & Quality Analytics - Work From HomeApplyremote type: Remotelocations: TX - Richardson: MT - Helena: NM - Albuquerque: OK - Tulsa: TN - Nashvilletime type: Full timeposted on: Posted Yesterdayjob requisition
Job Title HMP contracting and credentialing experience in the skilled nursing sector...
Director, HMO Claims Services This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in San Diego. The
Job Title Responsibilities: Run the AR every 4 weeks. Make sure the claims were paid correctly. Denials must be checked, sent appeal, check authorization and eligibility. Make phone calls if the denial is not clear, have
DEPARTMENT: CAMP GIFFORD POSITION TITLE: EXTRA ON CALL CAMP RETREAT ASSISTANT STATUS: SEASONAL, ON-CALL SUPERVISOR: CAMP BUSINESS MANAGER MISSION STATEMENT: The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its
Divergent is a technology company that has architected, invented, built, and commercialized an end-to-end factory system called the Divergent Adaptive Production System (DAPS) that comprehensively uses machine learning to optimally engineer, additively manufacture, and flexibly assemble
Esse Health is the largest independent physician practice in the St. Louis Metropolitan area with over 100+ physicians, in 35+ locations, serving nearly 130,000 patients. We are leading the health care community by placing patients and
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate