Claims Analyst (MCA) is responsible for the intake processing and triage of all initial claim documents in a high-volume... as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. A Medical...
Claims Analyst (MCA) is responsible for the intake processing and triage of all initial claim documents in a high-volume... as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. A Medical...
CPS claim system, including experience with complex claim processing (this should include reviewing medical claims... to streamline a workflow within the organization. Experience in medical claims billing (ICD-10 diagnoses, CPTs, and HCPCS codes...
with a deep dive focus into root cause. We determine the underlying reason for the claim failure and resolve the issue to prevent... future processing issues. Key components of the position include, but not limited to, identifying root cause of the claim...
and solving customer's problems Must have completed UMR medical claims zero check process within the UMR medical claims...
We’re Hiring: Billing & Coding Specialist (Hospital Claims Analyst) Dallas, TX (ONSITE) $60, 000–$80, 000/year... Ability to “dig deep”into aged accounts and identify the best recovery pathways Experience drafting strong medical appeals...
Recovery / Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs... through prospective solutions of claim system processes and claim business rules. This position is full-time, Monday...
Recovery / Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs... through prospective solutions of claim system processes and claim business rules. This position is full-time, Monday...
Analyst, providing expert support to BPO clients in managing claims submissions. In this role, you'll serve as a critical.... Validate file volume against claim estimates and enrollment figures. Track missing or failed files and support RCA for upload...
claim systems and Nexidia. Ensure data integrity, data security and process optimization. Collaborate with call teams... Qualifications: 1+ years of customer service experience within the healthcare industry 1+ years of medical claims experience...
for Clinical and Coding expertise in the application of medical and reimbursement policies within the claim adjudication process... through file review. This could include Medical Director/physician consultations, interpretation of state and federal...
are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical... professionals. Using information from tips and complaints from plan members, the medical community and law enforcement, employee...
all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation... for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim...