Claim Health jobs

Senior Claims Benefit Specialist 50 Locations posted: Posted Today

Accident and Health Senior Claims Specialist 3 Locations posted: Posted 4 Days Ago

Superviseur bilingues des sinistres - Accidents et Santé / Bilingual Claims Supervisor, Accident & Health Claims 2 Locations posted: Posted 14 Days Ago

AVP, Health & Dental Claims 3 Locations posted: Posted 24 Days Ago

Senior Accident & Health Claims Adjuster Chesterfield, Missouri posted: Posted 3 Days Ago

Wellness Advocate Banner Occ Hlth (1801 16th St) posted: Posted 9 Days Ago

Revenue Cycle Claims Specialist US Remote | Remote ABOUT FINNI HEALTH Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. WHAT YOU WILL BE DOING: As an Revenue Cycle Claims Specialist (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations. Your primary responsibilities will include: - Claims Triaging - Timely Filing - Monitor claims approaching timely filing limits and alert the RCM team about these claims and work collaboratively to resolve and send the claims for billing. - Payer Rejections - Resolve payer claims rejections by researching the root cause, calling the payer, and ultimately get claims accepted by the payer. - No Response - Follow up on claims with no payer response and ensure claims are on file with payers. - Claims Held due to Eligibility - Identify root cause of issues and work with various teams to obtain updated coverage information as necessary. - Claim Denials: Research root cause of denials, contacts payers for additional information/clarification if necessary, and appeal claim denials within appeal deadline windows. - Payer EDI Enrollments Management: Ensure all EDI related enrollments (ERA, EFT) are in place with payers, troubleshoot issues as needed (missing ERAs) and enroll

Medical Biller - Healthcare Claims 2 Locations posted: Posted 15 Days Ago

Accident and Health Senior Claims Specialist (Provider XS/ESL) 3 Locations posted: Posted 4 Days Ago

Trainee Claims International Insurance (w/m/d) - Accident & Health 2 Locations posted: Posted 10 Days Ago

Supervisor Health/Dental Claim 3 Locations posted: Posted 7 Days Ago

Community Health Advocate PA - Philadelphia posted: Posted 10 Days Ago

Medical Claims Analyst - OPS - ACAS Work At Home, Harrisburg, Pennsylvania,United States Embrace the opportunity to become a Medical Claims Analyst and play a key role in optimizing healthcare costs at CVS Health®. Use your expertise in medical claims processing and cost analysis to identify cost-saving opportunities and support our mission of delivering quality care. Grow your career in a dynamic, compassionate environment focused on innovation and efficiency.

Intake RN-Acute Eagle View Behavioral Health posted: Posted Yesterday

RN - Acute Palms Behavioral Health posted: Posted Yesterday

Health Representative - Karachi Pakistan - Remote posted: Posted Today

Project Claims Consultant Sydney We are somewhat different In Australia and New Zealand, Hannover Re is a major player in the Life & Health reinsurance market. Locally, we combine the agility of a small, nimble team with the financial strength and global reach of one of the world's largest reinsurers. We currently have an exciting opportunity for a Project Claims Consultant to join our Life & Health Subsidiary in Sydney. About the role: Reporting directly to the Technical Claims Manager, this fixed-term role is part of our Technical Claims team. As a Project Claims Consultant, you will support cedants by assessing and managing claims within a defined project, ensuring all claims are handled in line with LICOP, relevant legislation and policy/treaty conditions, while delivering high-quality outcomes for claimants and clients You can look forward to Reviewing and providing in-depth analysis of Income Protection and TPD claims Managing claims within the project in line with LICOP, cedant philosophy and policy terms Supporting effective and sustainable return-to-work outcomes for claimants Monitoring compliance with risk, regulatory and customer service standards Providing reporting, insights, and trend analysis on project performance Liaising with internal and external stakeholders (e.g. AFCA, medical professionals, investigators, underwriters) Contributing to process improvements across claims management for cedants Delivering client training where required Participating in claims forums and complex case discu

Registered Nurse Digestive Health BUMG (1441 N 12th St) posted: Posted 30+ Days Ago

Sr. Manager - Claims Delegation Audit 1600 Corporate Center Dr., Monterey Park, CA 91754 The Senior Claims Manager, Claims Delegation Oversight, is responsible for the management and oversight of all Claims Delegation Audits, including health plan and governing agencies audits, i.e., DMHC, CMS, and DHCS. This role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. The position alongside the leadership team will contribute to driving strategic planning, operational excellence, and accuracy of the claims process and ensure compliance with regulations and contract requirements for Medicare, Commercial Exchange, and Medicaid service lines. Our Values: - Put Patients First - Empower Entrepreneurial Provider and Care Teams - Operate with Integrity & Excellence - Be Innovative - Work As One Team

Health Representative Malaysia - Penang posted: Posted 30+ Days Ago

System Manager Claims UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities Experience in hospital and physician liability claims in the state of California is a big plus. As our System Manager, Claims, you will be responsible for the investigation, evaluation, and disposition of healthcare-related property and/or liability claims and lawsuits that are of a significant and complex nature. You will direct facility professionals on claim investigations that produce accurate facts and lead to timely as well as objective analysis of all assignments.Every day, under limited direction, this position will have high levels of authority to negotiate on behal

Medical Representative Remote posted: Posted Today

Health Solution Partner Colombia - Cali posted: Posted Today

Director II, Claims Ops Transformation 21 Locations posted: Posted 30 Days Ago