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179 Insurance Jobs found

Neighborhood Health Plan|Boston, MA, 02117, USA|3-5
package that includes medical dental and vision insurance generous earned time commuter benefit and a...s degree required Strong knowledge of health care managed care operations including claims member...
1 days ago from Claims Audit Analyst
Doral Dental USA|Grafton, WI, 53024|>1
Doral is currently adding a CS Claims Supervisor to our Customer Service team. This individual will provide appropriate leadership and supervision to the Claims Customer Service staff to ensure expectations of the health plans are met by monitoring daily, weekly, and monthly phone statistics; facilitating resolution and resolving internal and external complaints and issues. The Claims Supervisor is responsible for coordinating and implementing appropriate strategies for motivating team members and informing
2 days ago from CS Claims Supervisor
Anne Arundel Medical Center|Annapolis, MD, 21401, USA|
Job Details Assists in all phases of insurance verification to ensure the realization of the...Insurance Verification Representative Department AAD Administration Schedule Regular...other healthcare professionals Two years of previous insurance experience in a healthcare environment...
Humana|Tampa, FL, 33634|3-5
Humana offers a diversified portfolio of health insurance products and related services through traditional and...
3 days ago from Claims Specialist
Molina Healthcare|Long Beach, CA, 90810|>6
Program SCHIP and other government sponsored health insurance programs...Families Program the State Children s Health Insurance Program SCHIP and other government sponsored health...
Davita|El Segundo, CA, 90245|3-5
the Corporate Insurance Director and or Corporate Insurance Specialist with the handling of large dollar...Assists the Corporate Insurance Director and or Corporate...team reconstruction vendors claims consultants and or insurance carriers...
Davita Inc.|El Segundo, CA, 90245|3-5
the Corporate Insurance Director and or Corporate Insurance Specialist with the handling of large dollar...Assists the Corporate Insurance Director and or Corporate...team reconstruction vendors claims consultants and or insurance carriers...
Medical Mutual of Ohio|Cleveland, OH, 44115|>10
Vice President, Underwriting Medical Mutual of Ohio is searching for a Vice President, Underwriting. The position is based at the Medical Mutual of Ohio s headquarters in Cleveland, Ohio. This on the rise candidate will lead and provide overall direction, application, administration of underwriting policies/procedures and rate structures to ensure the financial security of the company. Areas of responsibility include: Group Rating, Small Group Risk Management, and Small Group Analysis. This position
CorVel Corporation|Dallas, TX, 75001|
CorVel Corporation is seeking an individual with experience in claims adjustment and a background in worker's compensation adjudication and Texas worker's compensation legislation. Knowledge of non-subsriber claim management is a plus. This position requires excellent time management and customer relations skills, as well as computer knowledge. Please fax resumes and salary hisotry to Julie Shannon at 1-866-910-4513 CorVel Corporaiton is an Equal Opportunity Employer. Note to Employment
Express Scripts|Louisville, KY|>1
Document all claims received through claim tracking and when necessary send secondary insurance claims and resubmit corrected claims...One year experience in medical insurance related field 3...College courses relating to business and health care preferred 2...
AMERIGROUP Corporation|Tampa, FL, 33603, USA|>5
adjustments and claims associated with other health insurance coverage 10...
6 days ago from Claims Analyst III Job
AMERIGROUP Corporation|Tampa, FL, 33603, USA|>3
adjustments and claims associated with other health insurance coverage 11...
6 days ago from Claims Analyst II Job
Aetna|Plantation, FL, 33337, USA|>3
Others No Job Type Customer Service Health Care Insurance Req d Education None Req d...Type Full Time Industry Healthcare Health Services Insurance Manages Others No Job Type Customer Service...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
6 days ago from STD Intake Claim Analyst
UnitedHealth Group|Eau Claire, WI, 54701|>2
most major segments of the US health care system...Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50...That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors...
Omnicare|Des Plaines, IL, 60018|
more than 17 000 employees providing health care services in 47 states and locations around...with nursing facility staff physician offices and insurance companies to ensure timely payment of online... Basic knowledge of insurance procedures...
UnitedHealth Group|Eau Claire, WI, 54701|>2
most major segments of the US health care system...Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50...That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors...
Omnicare|Harrisonburg, VA, 22801|
more than 17 000 employees providing health care services in 47 states and locations around...with nursing facility staff physician offices and insurance companies to ensure timely payment of online... Basic knowledge of insurance procedures...
Humana|Mobile, AL, 36608|
Humana offers a diversified portfolio of health insurance products and related services through traditional and... Market long term care life insurance and other specialty products for all ages...Degree Previous experience with health and life insurance Valid securities license Bi lingual in English...
Sutter Health|Sacramento, CA, 94203|8
Sutter Connect provides health care management and administration services including billing...has grown to be a leading health care management and administration services company providing...Requires in depth working knowledge of office procedures and organization in a managed health care setting 2...
9 days ago from Supervisor, Claims (PAMF
Children's Care Hospital & School|Sioux Falls, SD, 57105|>2
requests pre determination or prior authorization from insurance companies for outpatient therapy services...POSITION SUMMARY This position verifies insurance for all new services and requests pre...for initial visits and when changes in insurance companies are reported to Children s Care...
9 days ago from Insurance Specialist
UnitedHealth Group|San Antonio, TX, 78201|2
who serve our nation providing quality health care services to millions of military beneficiaries across...of the leaders across the US health care system...who serve our nation providing quality...Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions...
Humana|Mobile, AL, 36608|>1
Humana offers a diversified portfolio of health insurance products and related services through traditional and... Market long term care life insurance and other specialty products for all ages...Degree Previous experience with health and life insurance Valid securities license Bi lingual in English...
Seattle Childrens Hospital|Seattle, WA, 98101|4
Department Insurance Processing Salary DOE Hours Full time days...the day to day operations of the Insurance Processing Department such as daily tasks of...insurance carriers preferably in a role seeking insurance authorizations or referrals for services...
UnitedHealth Group|San Antonio, TX, 78201|2
who serve our nation providing quality health care services to millions of military beneficiaries across...of the leaders across the US health care system...who serve our nation providing quality...Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions...
Humana|Phoenix, AZ, 85043|
Humana offers a diversified portfolio of health insurance products and related services through traditional and...
Molina Healthcare Inc.|Long Beach, CA, 90802|>3
that arranges for the delivery of health care services to persons eligible to receive...Molina arranges health care services for members enrolled in its health...services to persons eligible to receive health care benefits through government sponsored programs for...
10 days ago from Claims - Adjuster
Aetna|Plantation, FL, 33324|
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Fast, accurate claims payment is one of the ways we make a difference in people's lives. Claims professionals work directly with members, doctors and employer groups, providing a friendly and knowledgeable voice at the other end of the phone at times when it's most needed. Provide centralized point of contact for the claimant, employer
10 days ago from STD Intake Claim Analyst
Humana|Phoenix, AZ, 85043|
Humana offers a diversified portfolio of health insurance products and related services through traditional and...
Kaiser Permanente|Rockville, MD, 20849, USA|5
QUALIFICATIONS Five years of experience in the underwriting or related areas of a health insurance company or HMO required...
UnitedHealth Group|Franklin, TN, 37064|>2
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...most major segments of the US health care system...the life transforming potential of bringing health care information to the right place at...
Blue Cross Blue Shield of Tennessee|Boston, MA, 02111|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Baltimore, MD|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|New York, NY|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Boston, MA|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Hartford, CT|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Philadelphia, PA|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
UnitedHealth Group|Plymouth, MN, 55441|5
Five years experience in an insurance company managed care environment or third party administrator...most major segments of the US health care system...lower costs and greater access to health care...
Aetna|South Portland, ME, 04106|
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. POSITION SUMMARY The STD Disability Claims Analyst is responsible for effectively managing STD claimants through their recovery or duration to end of benefits (EOB). The transition to Long Term Disability is also a key responsibility of the STD DCA. STD DCA must review each claim for eligibility, diagnosis, appropriate treatment and correct
11 days ago from STD Claim Analyst
UnitedHealth Group|Eau Claire, WI, 54701|>2
Ability to give presentations is a plus Insurance claims experience is a plus Diversity creates...most major segments of the US health care system...Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50...
Provena Health|Bolingbrook, IL|3
priority order Worker s Compensation insurance rules liability insurance rules and knowledge of all...of pre encounter orders management pre encounter insurance verification pre certification payor authorization medical necessity...coordinate and complete patient accounts ensure all insurance requirements are met secure payor authorizations complete...
Provena Health|Bolingbrook, IL|3
priority order Worker s Compensation insurance rules liability insurance rules and knowledge of all...of pre encounter orders management pre encounter insurance verification pre certification payor authorization medical necessity...coordinate and complete patient accounts ensure all insurance requirements are met secure payor authorizations complete...
Aetna|South Portland, ME, 04106, USA|4
Industry Insurance Manages Others No Job Type Insurance Req d Education 4 Year Degree Req...Other Pay Employee Type Full Time Industry Insurance Manages Others No Job Type...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
11 days ago from STD Claim Analyst
Aetna|Hartford, CT, 06152, USA|4
Industry Insurance Manages Others No Job Type Insurance Req d Education 4 Year Degree Req...Other Pay Employee Type Full Time Industry Insurance Manages Others No Job Type...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
UnitedHealth Group|Plymouth, MN, 55441|5
Five years experience in an insurance company managed care environment or third party administrator...most major segments of the US health care system...lower costs and greater access to health care...
UnitedHealth Group|Eau Claire, WI, 54701|>2
Ability to give presentations is a plus Insurance claims experience is a plus Diversity creates...most major segments of the US health care system...Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50...
Blue Cross and Blue Shield Association|Montpelier, VT, 05633, USA|>5
meets with clients to advise on health care financing...
11 days ago from Underwriter
Blue Cross and Blue Shield Association|Boston, MA, 02117, USA|>7
Sr. National Group Underwriter II Category: Finance Plan: MA- Blue Cross and Blue Shield of Massachusetts Division: Finance City: Boston State: MA Type: Full Time Description:Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law. Position Summary The National
SunBridge Healthcare|Albuquerque, NM, 87190, USA|3
Albuquerque Job Type Admin Clerical Health Care Insurance Base Pay N A Required Education Not...NM Albuquerque Job Type Admin Clerical Health Care...
12 days ago from Claims Analyst
HCA North Texas Division|Irving, TX, 75063|>1
via laser printer Perform pre registration and insurance verification within 24 hours of receipt of...to facilitate communication with hospital gatekeeper Perform insurance verification and pre certification follow up for...required EXPERIENCE At least one year of insurance verification experience preferred...
UnitedHealth Group|Franklin, TN, 37064|>2
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...most major segments of the US health care system...the life transforming potential of bringing health care information to the right place at...
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