EDI Claims Processor

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 DescriptionSummaryResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Job DescriptionJob DescriptionSummaryResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Job DescriptionJob DescriptionCrystal Stairs, Inc. Improving the Lives of Families throughChild Care Services, Research, and AdvocacyCrystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion...

Job DescriptionJob DescriptionCrystal Stairs, Inc. Improving the Lives of Families throughChild Care Services, Research, and AdvocacyCrystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion...

**Crystal Stairs, Inc.** **Improving the Lives of Families through** - Child Care Services, Research, and Advocacy_ **Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender,...

Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender...

**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...

Job DescriptionJob DescriptionSummary:Claims Support is responsible for supporting the day-to-day operations of the claims department. This person will support each sub department within Claims Operations.Duties and Responsibilities:• To scan claims and other documentation into Laserfiche• Assist in audit preparation• Provide backup for mailroom•...

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...

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...

Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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 five...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10939 Salary Range: $117,509.00(Min.) -$152,762.00(Mid.) -$188,015.00(Max.) Established in 1997,...

Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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 five...

Salary Range:  $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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...

Wonderful Pistachios is the world's largest vertically integrated pistachio processor and marketer. Located in California's Central Valley, our nuts are Non-GMO Project Verified and sustainably harvested, providing a smart, healthy choice for consumers around the world. Wonderful Pistachios are the original plant-based protein, and are a tasty tribute to...

**Only W2** **GC or USC ONLY** **What are the 3-4 non-negotiable requirements of this position?** Must have 5 years BA, Data Analysis, Claims processing experience QNXT Experience Healthcare industry **What are the nice-to-have skills?** Managed Care experience **Describe how this position fits in your organization.** Position reports to Director of...

**THE PURPOSE**: To create invoices, credits and debits, collect on outstanding invoices and chargebacks for Major Department Store Accounts, Specialty store and International businesses. **THE ROLE**: - Manage collections for a group of customer accounts - Research chargeback claims for validity - Dispute unjustified claims as necessary - Process credit...

Job DescriptionJob DescriptionSalary Range: $19 - $23 SummaryResponsible for collaborating with Manager, Lead, claims staff and Health Plans to submit, monitor and track the FFS Billing process. Additionally, the candidate will be responsible for the accuracy and integrity of the claim’s submissions, tracking and appeals related to FFS Billing. Ensures...

Job DescriptionJob DescriptionSalary Range: $19 - $23 SummaryResponsible for collaborating with Manager, Lead, claims staff and Health Plans to submit, monitor and track the FFS Billing process. Additionally, the candidate will be responsible for the accuracy and integrity of the claim’s submissions, tracking and appeals related to FFS Billing. Ensures...