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Providence
- Billings, MT / Portland, OR / Albuquerque, NM / 5 more...
Providence Health Plan caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling a Manager Actuarial Ana
Posted 27 days ago
JOIN OUR TEAM! Spring Mountain Treatment Center is currently seeking a dynamic professional to join our team as an Patient Accounts Representative. The Patient Accounts Representatives is t o identify, record and summarize financial data related to business transactions, events and decisions to report and interpret data necessary for sound judgments and decisions by manag
Posted 5 days ago
The SHOW comes alive at MGM Resorts International. Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Resorts, we seek individuals like YOU to create unique and show stopping experiences for our guests
Posted 8 days ago
Providence caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Senior Claims Insurance Manager Medical Profe
Posted 19 days ago
Providence
- Houston, TX / Portland, OR / Boise, ID / 6 more...
may include Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements Collaborating with product, market, executive, and
Posted 26 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for verification of benefits for all hospital
Posted 7 days ago
This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission files related to chart retrievals per vendor proprietary format, perform data analysis in support of optimizing risk adjusted revenue, maintain compliance with all CMS standards related to health plan sub
Posted 14 days ago
Emergent Marketing Agency
- Spring Valley, CA / Enterprise, NV / North Las Vegas, NV
> 4 POSITIONS AVAILABLE < BONUS FEATURES of working with us Zoom Dials where ever you are to work with Top Producers. Listen in on how they call and close clients. Have them listen to you and get feedback for FREE. Too many vendors for warm leads. Digital leads, direct mail, live transfers and more! Plenty of WEEKLY skill related training calls to teach you how to become
Posted 1 day ago
This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services rendered in order to maintain a consistent cash flow. Nature and Scope The Insurance and Claims Representative is responsible for Accuracy and completeness of patient accounts for billing and f
Posted Today
Providence
- Renton, WA / Portland, OR / Houston, TX / 5 more...
Providence Health Plan caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling a Senior Actuarial Anal
Posted 11 days ago
Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, processing and responding to written member and provider complaints, appeals, and grievances. This position is required to apply analytical and critical thinking when reviewing contract language, benefits and covered services in researchin
Posted 20 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for the maintenance and processing of patient
Posted 20 days ago
Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for the maintenance and processing of patient
Posted 21 days ago
Emergent Marketing Agency
- Spring Valley, CA / Enterprise, NV / North Las Vegas, NV
> 4 POSITIONS AVAILABLE < BONUS FEATURES of working with us Zoom Dials where ever you are to work with Top Producers. Listen in on how they call and close clients. Have them listen to you and get feedback for FREE. Too many vendors for warm leads. Digital leads, direct mail, live transfers and more! Plenty of WEEKLY skill related training calls to teach you how to become
Posted 1 day ago
The Claims Examiner is detail oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and co
Posted 2 months ago
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