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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

LOCATION: Remote – This is a home based, virtual position that operates on US Eastern Standard time within the hours of 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Protect Professionals Claims Management, a division of Protector Plans, is seeking a Medical Malpractice Claims Adjuster.
This can be a remote from home opportunity.
WHO ARE WE:
The Claims Team of Protect Professionals Claims Management, a division of P...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel.
The positions is remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receives claims, confirms policy coverage and acknowledgement of the claim
* Determines the val...

LOCATION: Remote – This is a home based, virtual position. Vaya Health operates on US Eastern Standard time within the hours of 8:30am-5:00pm EST. We welcome applications from the following states: NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to...

FUNDING SPECIALIST
POSITION SUMMARY
The Funding Specialist is responsible for preparing and submitting funding request to clients for claims incurred by covered members of the group health plan. In addition, they help to facilitate the payment transactions either in the form of an electronic payment or paper check. These payments are for both provider and vendor payments. Other responsibilities...

Become a part of our caring community and help us put health first
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by div...

Who We Are:
Ride Health removes the transportation barriers that keep our most vulnerable populations from accessing health care. Ride Health partners with healthcare organizations and transportation providers to strengthen enterprise transportation programs and drive intelligent transitions of care. We blend technology and data with a human approach to break down access barriers and solve some...

SENIOR FUNDING ANALYST
POSITION SUMMARY
Senior, Funding Analyst organizes, delegates, and problem solves day to day workflows of the ASO Funding team. Major responsibilities include training staff on departmental processes, researching and responding to advanced internal and external inquiries regarding claim funding and recommending and implementing process improvements. When necessary, this p...

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence is calling a Sr. Professional Liability Medical Claims Manager who will:
Inve...

An exciting opportunity exists to join the ProAssurance family of companies!
Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?
At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity...

An exciting opportunity exists to join the ProAssurance family of companies!
Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?
At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, l...

Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician ...

Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician...

Overview
TISTA Science and Technology is seeking to hire a Medical Claims Processing SME/EDI/CoE to join our growing team in Austin!
TISTA associates enjoy above Industry Healthcare Benefits, Remote Working Options, Paid Time Off, Training/Certification opportunities, Healthcare Savings Account & Flexible Savings Account, Paid Life Insurance, Short-term & Long-term Disability, 401K Match, Tui...

The range for this role is $99,000 - $142,000
Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 10% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
In...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustain...

Employment Type:
Full timeShift:
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.1738-$24.1614)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate ...

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to c...