EDI Claims Specialist

Job DescriptionJob DescriptionThe Senior EDI Claims Specialist is responsible for overseeing the retrieval, processing, validation, and posting of electronic claim data files into MPM’s core system, EZ-CAP®. Serving as a subject matter expert, the Senior EDI Claims Specialist will support the EDI Claims Team through training, monitoring of workflows,...

Job DescriptionJob DescriptionThe Senior EDI Claims Specialist is responsible for overseeing the retrieval, processing, validation, and posting of electronic claim data files into MPM’s core system, EZ-CAP®. Serving as a subject matter expert, the Senior EDI Claims Specialist will support the EDI Claims Team through training, monitoring of workflows,...

Job DescriptionJob DescriptionThe EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM’s core system, EZ-CAP®. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely and meet compliance regulations. Duties and Responsibilities...

Responsible for comprehensive review, analysis, negotiation, and recommendations for resolution of design and construction claims. - Also responsible for developing and implementing claims avoidance strategies and claims mitigation measures. - Responsible for managing a team of claims specialists. Pay: $237,714.20 - $282,285.71 per year Work setting: -...

**Description** Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and...

Overview: We are seeking a highly organized and detail-oriented Claims Specialist to join our team. As a Claims Specialist, you will be responsible for processing and managing insurance claims, ensuring accuracy and compliance with relevant regulations and policies. This is a vital role in our organization, as you will play a key part in facilitating the...

Now is the time to join us! Virgin Pulse and HealthComp are now Personify Health. The industrys first personalized health platform company combines health, wellbeing, and navigation solutions to deliver powerful outcomes to businesses and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive...

Overview Now is the time to join us Virgin Pulse and HealthComp are now Personify Health. The industry's first personalized health platform company combines health, wellbeing, and navigation solutions to deliver powerful outcomes to businesses and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse...

Senior Claims Specialist - Claims Processing Mission Hills , California ReqID: 261029 Job Category: Claims Schedule: Full time Work Location: Facey Sepulveda Annex-Mission Hills Shift: Day Description The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate...

JOB SUMMARY:Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities. Although it serves a variety of consumers, the agency focuses primarily on providing care to low-income, high at- risk youth.The role of the Claiming Analyst is to maintain electronic claiming functionalities...

**Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and...

**Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and...

Tuesday, February 13, 2024 JOB SUMMARY: Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities. Although it serves a variety of consumers, the agency focuses primarily on providing care to low-income, high at- risk youth. The role of the Claiming Analyst is to maintain...

Highest level individual contributor directly responsible for inventory of complex, severity Financial Institutions and Management Liability claims. - Excels in a best practices claim environment, thoroughly documenting the claim process. - Responsib Claims Specialist, Liability, Claims, Management, Specialist, Senior, Insurance

**99% remote, only the orientation will be onsite and a few meetings when necessary.** **CPC-H, CPC, or CCS coding certification required.** Job Summary: **Responsibilities**: - Review and process medical claims for accuracy and completeness - Verify insurance coverage and eligibility for claim submission - Ensure compliance with Medicare, HCPCS, ICD-10,...

Salary Range:  $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in...

Salary Range: $50, Min.) - $62, Mid.) - $75, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure...

SOS Personal Property Specialist (Part-Time) - Enservio Who We Are Founded and continuously led by inventor and entrepreneur Tony Aquila, Solera is a global leader in digital technologies that connect and secure life's most important assets: our cars, homes and identities. Since its inception in 2005 as a garage-based startup, Solera has grown aggressively...

Salary Range: $50, Min.) - $62, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

SOS Personal Property Specialist (Part-Time) - Enservio Who We AreFounded and continuously led by inventor and entrepreneur Tony Aquila, Solera is a global leader in digital technologies that connect and secure life's most important assets: our cars, homes and identities. Since its inception in 2005 as a garage-based startup, Solera has grown aggressively...