4,811 Payer Jobs - page 3
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Solutions Architect E-Solutions - Minneapolis, MN, United States Architect. Must have Data Architecture experience and skills. Health Payer domain experience with Data domain experience in Medical Claims, Membership, Provider, Rx prescription and understand clinical data 4 days ago
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Patient Account Representative- Clinical Trials Guidehouse - Birmingham, United States and insurance claims; data entry of changes, payments and adjustments; assisting patients with patient plans and other accounting related issues; preparing various reports; contacting third part payer about 2 days ago
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Medical Science Liaison - up to $215,000 base + 15% bonus + stock Joseph Executive Search Ltd - , CA, United States functionally with colleagues in payer relations, professional relations, clinical operations and commercial services. The role:- Maintain an expert level knowledge to engage in peer-to-peer scientific 12 days ago
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PFS Credit Balance Specialist Guidehouse - Birmingham, United States adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment 2 days ago
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Patient Account Rep- Clinical Trials (Physician Billing) Guidehouse - Birmingham, United States payer about account- related issues; preparing and submitting bills for payment; and reconciling credit balance accounts in a timely manner. In addition, receives and responds to account inquiries 2 days ago
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Utilization Management Nurse Insight Global - Philadelphia, PA, United States RN license 2+ years of experience working in Utilization Review or Utilization Management with commercial payers or Medicare/Medicaid Experience/knowledge of NCQA, CMS and InterQual Plusses BSN Day 12 days ago
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Licensed Health Aide Thrive Skilled Pediatric Care LLC - Kingman, United States Weekly pay and up to 80 hours of PTO per year! NEW PTO Program! Earn up to 40 hours of PTO per year! We are one of the top payers in the state of AZ for LHAs. Up to $1,000 Sign on Bonus available 2 days ago
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RN Care Coordinator Trinity Health - Athens, United States of patients. The care coordinator is also responsible for conducting initial and concurrent chart reviews on Federal and self payers for the purpose of utilization review as well as identifying patients 6 days ago
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Revenue cycle management The Judge Group - , KY, United States or have been overpaid by our third-party payers. Provide timely and accurate reporting on trends or issues regarding payers, CPT/HCPCS codes, and DX codes. Specific Functions: Work all denials received to ensure 13 days ago
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Registered nurse navigator population health senior-population health admin Christus Health - Irving, United States and discharge plan. Ensures HH agency is addressing the problem list and providing appropriate follow up for patient needs. Based on CMS or other payer guidelines, patient assessment, and case conferences, makes 3 days ago
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