Claim Health jobs

Insurance Biller Collector 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 As an Insurance Biller, you will provide critical support in the revenue cycle, meticulously processing and submitting claims to ensure timely and accurate reimbursement for services rendered.Every day you will expertly review patient accounts, verify insurance information, apply correct coding, and meticulously prepare and transmit claims, diligently following up on rejections and denials to maximize revenue capture.To be successful, you will demonstrate outstanding attention to detail, strong knowledge of billing regulations, and a persistent, analytical demeanor, contribu

Health Information Management Specialist 2 Locations posted: Posted Yesterday

Claims Analyst Springfield, Illinois, United States of America This role is responsible for investigating claims, coordinating claim activity, maintaining documentation, and supporting timely and compliant claim outcomes. Prior claims or insurance experience is b...

Analyst, Quality Audit Control II Work At Home, Phoenix, Arizona,United States Embrace the opportunity to become a Quality Audit Control Analyst II and play a key role in ensuring healthcare compliance and quality. Leverage your expertise in Medicare and Medicaid claims processing, quality audits, and SOX compliance to drive performance and support our mission of delivering safe, efficient, and compassionate health services.

RN -Recovery English Mountain Recovery posted: Posted Yesterday

Nurse (Occupational Health) Gallup, New Mexico Summary The incumbent is responsible for the ongoing development, implementation, and evaluation of occupational health services in accordance with hospital policies, practices, procedures, and applicable regulations. The incumbent reports to the Safety Manager, Chief Quality Management Officer or designee. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Duties Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Oversee daily occupational health operations, ensuring compliance with OSHA, CDC, TJC, and other regulatory standards while maintaining employee health records, reports, and program documentation. Coordinate employee health services including immunizations, TB screening, N95 fit testing, flu/COVID clinics, color blindness testing, and pre-employment medical clearance reviews. Manage work-related injury and illness cases by coordinating evaluations, referrals, exposure follow-up, workers' compensation, disability cases, and case management services. Lead occupational health quality improvement and prevention initiatives through data monitoring, evidence-based practices, employee wellness programs, and workplace injury prevention strategies. Collaborate with hospital departments and external partners to develop policies, training, orientation materials, safety programs, and organizational employee health initiatives. Requirements Selectee may be subject to a probationary period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments

Government Audit & Appeals Specialist I (Remote) Sacramento, California, United States of America Embrace the opportunity to become a Government Audit & Appeals Specialist I and play a vital role in managing clinical appeals and denials. Leverage your expertise in medical coding, regulatory compliance, and healthcare claims analysis to ensure accurate appeals and support financial integrity. Grow your career with Stanford Health Care in a collaborative, innovative environment.

Senior/ Health Representative - Vaccine Hong Kong - Quarry Bay posted: Posted Yesterday

Sr. Manager, Rocket Application Developer Work at Home, Illinois, United States Join our team as a Senior Manager, Rocket Application Developer and lead the design, development, and optimization of automation solutions for healthcare claims processing. Collaborate with cross-functional teams, drive innovation, and ensure high-quality, scalable automation in a regulated environment. Shape the future of healthcare technology at CVS Health.

Health Information Representative UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! Job Summary and Responsibilities As our Health Information Management Representative (HIM) Representative, you will handle requests for patient health information, ensuring proper authorization and adherence to privacy regulations like HIPAA. You will accurately process, scan, and file medical records, maintaining the integrity of our electronic and paper health information systems.Every day you will retrieve and organize patient charts, assist healthcare providers with record access, and perform quality checks on documentation. You will also communicate with internal departments and external entities regarding record requests and information dissemination.To be successful in this role, you will

Customer Service Representative 151 Farmington Avenue, Hartford, Connecticut,United States Embrace the opportunity to become a Customer Service Representative and make a real impact by helping customers navigate their benefits and claims. Use your communication and problem-solving skills to deliver exceptional service, resolve inquiries, and support our mission to improve health outcomes. Grow your career in a supportive, inclusive environment with great benefits.

Counselor Behavioral Health BUMG Univ Med Whole Health Clinic (535 N Wilmot Rd) posted: Posted 17 Days Ago

Business Development Manager Mumbai About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Core Responsibilities - 1. Business Development & Sales Strategy - Develop and execute an effective sales strategy within India and regional markets to meet and exceed growth targets. - Build and maintain a robust sales pipeline, utilizing data and market trends to

Occupational Health Registered Nurse Banner Occ Hlth (5088 W Innovation Cir) posted: Posted Yesterday

Regional Account Manager Hong Kong About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Key Responsibilities: 1. Strategic Account Management - Relationship Lead: Act as the primary consultant for our Global Clients APAC HR and Benefits leadership, ensuring Lyra's services align with their regional strategy. - Regional Champion: Drive program awareness and adoption through localized

Bilingual Emotional Consultant (Vespertino) Mexico City About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Clinical and Operational Expertise - Required to hold a Bachelor's Degree in Psychology with a valid Professional License (Cédula Profesional). A Master's degree is highly preferred. - At least 3 years of direct clinical practice with a solid, verifiable foundation

Medical Representative_R&I(North) Taiwan posted: Posted 21 Days Ago

Medical Representative - CVRM - HN Vietnam - Hanoi posted: Posted 8 Days Ago

International Labor & Employment Counsel London About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Key Responsibilities: ● Provide in-house legal counsel on employment related matters, which may include, but not be limited to, employment agreements, handbooks, and policy related issues, workplace investigations and Employee Relations matters, manager and employee training, leaves of absence and/or

Billing Specialist UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Welcome to Saint Joseph East, a 217-bed, full-service, community hospital located in a convenient setting in Lexington, Kentucky. Saint Joseph East also includes the Women's Hospital at Saint Joseph East which is dedicated to supporting the well-being of women in Central and Eastern Kentucky and serves a 16-bed Level III Neonatal Intensive Care Unit (NICU). CHI Saint Joseph Health is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states. Job Summary and Responsibilities As our Billing Specialist, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance. Coordinate copies of medic

Medical Representative - CVRM - THANH HOA Vietnam - Hanoi posted: Posted 24 Days Ago

Health Representative IM - Jeddah Saudi Arabia - Jeddah posted: Posted 3 Days Ago

Senior Claims Consultant - Construction Claims Salt Lake City, Utah, United States of America Join our team as a Senior Claims Consultant - Construction Claims and play a pivotal role in protecting construction clients. Leverage your expertise in commercial insurance, claims advocacy, and construction risk to deliver tailored solutions. Collaborate with industry leaders, manage complex claims, and drive impactful outcomes in a dynamic, growth-focused environment.

Claims Assistant - Specialty Claims Boston, Massachusetts, United States of America Take on the role of a Claims Assistant - Specialty Claims and support our award-winning insurance brokerage. Leverage your customer service and organizational skills to coordinate claims, assist with investigations, and ensure smooth operations. Grow your career in a collaborative environment with opportunities for learning and advancement.