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Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... on semi-routine assignments. Responsibilities The Billing & Reconciliation Representative..
Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... is looking for an experienced billing associate that truly..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Description The Risk Management Professional 2 is responsible for analyzing enrollment and billing data to minimize compliance risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Legal Assistant The candidate should have an individual with a desire to work with and assist in managing and organizing files, proofreading and assembling documents, answering phone calls, filing documents, compiling ..
Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financial and quality performance within the ..
ADP is hiring an ERM/Global Relationship Manager. In this position you will be responsible for the effective management of clients. Develops and enhances strategic business partnerships by fully engaging and building ..
Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Lien Specialist Duties: Work with Attorneys to process specific liens within case settlements, including Medicare, Medicaid, Federal, ERISA and other as needed. Work directly with Finance for check deposits and payments. ..
Job Information Humana Sr. DevOps Cloud Engineer in Aberdeen South Dakota Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps ..
Provider Specialist Duties: Works with Premises Attorneys to process case settlements, including Medicare and health insurance liens, review medical bills and computation of net settlements. Works directly with Finance for check ..
Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Aberdeen South Dakota Description Humana is looking for an experienced Healthcare Investigator to join its ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... Aberdeen South Dakota Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
... Professional - Product Owner, Premium Billing Systems in Aberdeen South Dakota ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
