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Remote,
United States
...
's primary responsibility is supporting the daily claims process. Secondarily, they are responsible for ... LOB Supervisor
Functions as a technical specialist for claims operations.
Maintains a
...
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Remote,
United States
...
's primary responsibility is supporting the daily claims process. Secondarily, they are responsible for ... LOB Supervisor
Functions as a technical specialist for claims operations.
Maintains a
...
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Thibodaux, Louisiana
...
Provider Network Account Executive I
Location: Thibodaux, LA
Primary Job Function:
...
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Remote,
United States
...
), Member/Provider Services, Research, Claims/Provider Claims, Panel Transfer, Enrollment and Hire Ahead
...
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Remote,
United States
...
.
Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant claims ... work experience preferred.
Knowledge and proficiency in claims adjudication standards
...
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Newtown Square, Pennsylvania
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the enterprise claims and provider platform, process improvement through robotic automation and ... Management, Claims, Capitation, Enrollment Provider Relations, Finance, etc., to provide RPA, payment
...
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Manchester, New Hampshire
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initial submission to EO and claims post-production
Capitation reconciliations – building queries
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Washington, District Of Columbia
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including but not limited to, Claims Operations, Medical Management.Credentialing, Legal, Analytics ... include network management and networkrecruitment
Extensive knowledge claims processing / billing
...
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Charlotte, North Carolina
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Provider Network Account Executive II
Location: Charlotte, NC
Primary Job Function
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Remote,
United States
...
work experience in a Health Care field.
1 to 3 years relative experience in previous claims
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Remote,
United States
...
.amerihealthcaritas.com.**
Responsibilities:
The Provider Claims Inquiry Team Medical Coding Auditor reviews medical records and documents supporting claims for Physical and Behavioral Health Services
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Harrisburg, Pennsylvania
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of areas such as: claims, membership, provider, and others as needed.
Working with management
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Washington, District Of Columbia
...
.
Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant claims ... preferred.
Knowledge and proficiency in claims adjudication standards & procedures preferred
...
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Palm Beach Gardens, Florida
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claims submission and implementation of improved processes that result in increased auto-adjudication of claims.
Recruitment:
Responsible for compliance with State and accrediting agencies
...
