Healthcare Claim Investigator

Job SummaryAs a Medical Claims Auditor at Point32Health, you will play a vital role in ensuring the accuracy and integrity of medical claims. Your expertise will be instrumental in maintaining compliance with regulatory requirements and company policies.Key ResponsibilitiesClaim Review and Audit: Conduct thorough reviews of medical claims to ensure accuracy,...

Job SummaryAs a Medical Audit Claim Reviewer at Point32Health, you will play a critical role in ensuring the accuracy and compliance of medical claims. Your expertise will be essential in maintaining the trust and satisfaction of our members and the financial stability of our organization.Key ResponsibilitiesMedical Claim Review: Conduct thorough reviews of...

About Point32HealthPoint32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. Our mission is to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.Job SummaryThis...

Job DescriptionTransforming Healthcare, One Member at a TimeWe are seeking a highly skilled and dedicated Member Services Representative to join our team at Point32Health. As a key member of our organization, you will play a vital role in providing exceptional customer service and support to our members, employers, and internal customers.Key...

Job SummaryUnder the oversight of the Senior Manager of Consulting and Operations, this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines.Key ResponsibilitiesSupport program reporting by developing and maintaining program dashboards, reports, and deliverables for internal leadership and...

Job DescriptionWe are seeking a highly skilled and compassionate Member Services Representative to join our team at Point32Health. As a key member of our organization, you will play a vital role in providing exceptional customer service and support to our members.About the RoleIn this dynamic and fast-paced environment, you will be responsible for:Providing...

Job SummaryWe are seeking a highly skilled Finance Operations Analyst to join our team at Ignyte AI. As a key member of our finance operations team, you will be responsible for executing complex operational processes associated with claims disbursements, provider collections, and corporate accounting operations.Key ResponsibilitiesEnsure timely and accurate...

Job Summary**Job Title:** Project Manager**Job Summary:** We are seeking a highly skilled and experienced Project Manager to join our team at Professional Electrical Contractors of CT, Inc. The successful candidate will be responsible for overseeing the day-to-day management of Assistant Project Managers and projects assigned to them.Key...

Job SummaryAs a Senior Manager, Network, you will lead the analytic support of contract negotiations, strategic initiatives, and regulatory requests. You will manage staff, provide training and mentoring, and directly support complex analysis related to negotiations and provider contracts.Key ResponsibilitiesManage analysts in designing and executing complex...

Job SummaryWe are seeking a highly skilled Senior Manager to lead our Network Analytics team. As a key member of our organization, you will be responsible for providing strategic support to our contract negotiations, strategic initiatives, and regulatory requests.Key ResponsibilitiesLead Complex Analyses: Manage analysts in the design and execution of...

{"title": "Materials Handler", "description": "Job SummaryOrganogenesis is a leading regenerative medicine organization dedicated to empowering healing through the development, manufacturing, and sale of products for the advanced wound care and surgical markets. We strive to provide an integrated portfolio of healing solutions that improve lives while...

Job OverviewAllied Universal, a leading security and facility services company, is seeking a part-time Security Officer to oversee a Medical Company Site in Canton, MA. As a Security Officer, you will serve and safeguard clients in a range of industries, including Commercial Real Estate, Healthcare, Education, Government, and more.ResponsibilitiesProvide...

Job SummaryPoint32Health is seeking a highly skilled Data Analyst to support the operations and analysis of risk adjustment strategy across our business lines. As a Data Analyst, you will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing results to develop insights,...

Job OverviewAllied Universal, a leading security and facility services company, offers rewarding careers that provide a sense of purpose. As a Security Officer, you will be part of a dynamic, diverse, and inclusive team that serves a range of industries, including Commercial Real Estate, Healthcare, Education, and Government.Job ResponsibilitiesAs a Security...

Job Summary:We are seeking a Security Officer to join our team at a Medical Company Site in Canton, MA. As a Security Officer, you will serve and safeguard clients in a range of industries, including Commercial Real Estate, Healthcare, Education, Government, and more.Responsibilities:Provide customer service to our clients by carrying out safety and security...

{"Responsibilities": "As a Customer Service Account Specialist at Organogenesis, you will play a critical role in maintaining customer relationships and ensuring seamless contract management. Your responsibilities will include handling incoming Direct Purchase Agreements, creating new customer accounts, and obtaining signatures on agreements. You will also...

Join Our Team as a Field Claims RepresentativeCincinnati Insurance Company, Inc. is seeking a talented Field Claims Representative to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.This role offers the opportunity to build productive relationships, collaborate within a diverse team, and provide...

Job SummaryAs a Medical Audit Claim Reviewer at Point32Health, you will play a critical role in ensuring the accuracy and compliance of medical claims. Your expertise will contribute to the well-being of our members and the financial stability of our organization.Key ResponsibilitiesReview and audit medical claims to ensure accuracy, completeness, and...

Job SummaryWe are seeking a skilled Billing Specialist to join our Finance department at CommQuest Services, Inc. The successful candidate will be responsible for working with aging reports and claim denials, under the guidance of the Revenue Cycle Lead.Key ResponsibilitiesReview, correct, and resubmit denied claims to ensure timely payment.Maintain...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job Summary:We are seeking a highly skilled and experienced Medical Billing Specialist to join our team at Regional Vascular & Vein Institute. As a key member of our billing department, you will be responsible for managing charge entry, claims submission, EFT and patient payments, collections, and follow-up on claim denials and accounts receivables.Key...

Job Summary:We are seeking a highly skilled and experienced Medical Billing Specialist to join our team at Regional Vascular & Vein Institute. As a key member of our billing department, you will be responsible for managing charge entry, claims submission, EFT and patient payments, collections, and follow-up on claim denials and accounts receivables.Key...

Job SummaryThis role is responsible for leading and developing teams effectively by teaching, training, and actively listening to associates. The Asset Protection Operations Coach will drive sales by ensuring effective merchandise presentation, assessing economic trends and community needs, and overseeing the stocking and rotation of merchandise.Key...

Purpose of Position:This role is responsible for providing support to the Sales Department, focusing on customer service, order processing, and administrative duties. The Sales Support Specialist will assist the Sales team in resolving sales-related problems, entering new orders, tracking orders, and investigating issues. They will also be responsible for...

Regional Vascular and Vein Institute is a well-established, successful private practice consisting of a group of 4 vascular surgeons serving individuals throughout Stark and surrounding counties. We are looking for a committed professional to join our team and support our physicians in ensuring each patient is treated as an individual and receives the...

Sales Coordinator Job DescriptionThis role is responsible for providing critical support to the Sales Department. The Sales Coordinator will work closely with the Sales team to resolve sales-related issues, enter new orders, track orders, and investigate customer inquiries. The ideal candidate will possess excellent communication skills, strong...

Job SummaryWe are seeking a highly skilled and detail-oriented Registration Associate to join our team at Children's Healthcare of Atlanta. As a key member of our Cherokee Unit, you will play a critical role in ensuring the smooth registration process for our patients.Key ResponsibilitiesInterview patients and families to obtain complete and accurate...

Job SummaryWe are seeking a highly skilled and detail-oriented Registration Associate to join our team at Children's Healthcare of Atlanta. As a key member of our patient access team, you will play a critical role in ensuring the smooth and efficient registration process for our patients.Key ResponsibilitiesInterview patients and families to obtain complete...

Job SummaryWe are seeking a highly skilled and detail-oriented Registration Associate to join our team at Children's Healthcare of Atlanta. As a key member of our patient access team, you will play a critical role in ensuring the smooth and efficient registration process for our patients.Key ResponsibilitiesInterview patients and families to obtain complete...

Job SummaryWe are seeking a highly skilled and detail-oriented Registration Associate to join our team at Children's Healthcare of Atlanta. As a key member of our patient access team, you will be responsible for ensuring seamless patient registration and billing processes.Key ResponsibilitiesInterview patients and families to obtain complete and accurate...

Description BENEFITS: Keystone Treatment Center provides a comprehensive package of benefits for our Behavioral Health Associate. Current benefits include: + Competitive hourly rate with shift differential available. + Medical, dental, and vision insurance. + Company paid life insurance. + Acadia Healthcare 401(k) plan. + Excellent training...

Description We are looking to add compassionate Behavioral Health Associate to our clinical team! Keystone is a 126-bed treatment center providing services to adults and adolescents in an inpatient setting. Keystone is located just southeast of Sioux Falls near the South Dakota/Iowa border in Canton, SD. BENEFITS: Keystone Treatment Center provides a...

Keystone is an inpatient facility that treats the disease of addiction. We are a 126 bed facility consisting of 3 main buildings. We are located in Canton, SD just a short drive south of Sioux Falls on the SD/IA border.Benefits8 paid holidaysPersonal days, vacation and sick days accrualMeals provided.Medical, Dental and Vision insurance availableCompany paid...

DescriptionThis is a part time position with some on call hours this could include some Saturday and Sunday hours. This individual will transport our patients either new patients coming to treatment, patients leaving treatment, going back home, to outside AA, NA, or GA meetings in the evenings or to appointments. This position is about 10-20 hours per...