Medicare Advantage EDI Operations Specialist

Medicare Advantage EDI AnalystTake your career to the next level at UCLA Health, a world-renowned health system with a strong commitment to excellence.As a key member of our Medicare Advantage Operations team, you will play a critical role in maintaining and running processes for electronic claims and other EDI transactions.Responsibilities include working...

Job SummaryUCLA Health is seeking a highly skilled EDI Analyst to join our Medicare Advantage Operations team. As an EDI Analyst, you will play a critical role in maintaining and running processes for electronic claims and other EDI transactions.Key ResponsibilitiesWork with external trading partners to transfer and load data through secure channelsTest...

Job SummaryAs a key member of our Medicare Advantage Operations team at UCLA Health, you will play a vital role in maintaining and running processes for electronic claims and other EDI transactions.This involves working with external trading partners, transferring/loading data through secure channels, and testing files from new providers/trading partners.You...

Job SummaryAs a Counsel II for Medicare Advantage, you will provide legal support for Medicare Advantage managed care plans, coordinating with colleagues in other legal practice groups to ensure seamless delivery of legal advice to an integrated care system. You will provide guidance on issues concerning the regulatory and operational matters of Medicare...

About UsKITSCH LLC is a self-financed, female-owned global accessory brand built on positivity and pure hard work. We have grown from door-to-door sales to selling products in over 27 countries across 20,000 retail locations worldwide.Job SummaryWe are seeking an EDI Logistics Specialist to provide EDI production support and coordinate new EDI setup. The...

We are seeking an experienced EDI Integration Specialist to join our team at Diverse Lynx. The ideal candidate will have a strong background in EDI, IBM Sterling, and integration technologies.Key Responsibilities:Design and implement EDI integration solutions using IBM Sterling and other technologies.Collaborate with cross-functional teams to ensure seamless...

About UsKITSCH LLC is a self-financed, female-owned global accessory brand built on positivity and pure hard work. Established in 2010, with a business plan no longer than a paragraph, we have grown from door to door sales to selling products in over 27 countries across 20,000 retail locations worldwide.We are committed to creating high quality products that...

Job Summary:As a Medicare Advantage Senior Contact Center Representative at the University of California, you will play a vital role in addressing and resolving complex member inquiries, providing detailed information on intricate health plan benefits, and ensuring a seamless navigation of healthcare processes.Key Responsibilities: Utilize state-of-the-art...

About the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping seniors and individuals with disabilities navigate the complex world of Medicare. Your expertise will be instrumental in ensuring that our clients receive the best possible healthcare coverage for their needs and budget.Key ResponsibilitiesWork with seniors and...

Job OverviewWe are seeking a highly organized and detail-oriented EDI Entry Associate to join our team at MM International.Key Responsibilities:Download customer orders from SPS Commerce EDI and manually organize data into a master file.Compare order quantities to warehouse inventory balance reports to verify order fulfillment status.Enter data accurately...

Job SummaryAt Premier Global Links, we are seeking a highly skilled Data Operations Specialist to join our Warehouse team.Key ResponsibilitiesDownload customer orders via SPS Commerce EDI and organize data into a master fileCompare order quantities with warehouse inventory reports to verify fulfillment statusAccurately input data into the system ensuring no...

Job DescriptionWe are seeking a detail-oriented Medicare Claims Appeals Specialist with a comprehensive understanding of Medicare claims processing, including provider contracts, Division of Financial Risk (DOFR), explanation of benefits, and claim edits.Key Responsibilities:Review and process Medicare provider appeals cases for California clients, adhering...

Medicare Sales Specialist RoleA leading provider of Medicare solutions, dedicated to offering tailored healthcare products that address the unique needs of each client, is seeking a passionate and knowledgeable Medicare Sales Specialist to support their team in delivering exceptional client experiences.In this position, you will play a key role in educating...

About the RoleWe are seeking a highly motivated and experienced Medicare Sales Representative to join our team at AMBA. As a Medicare Sales Representative, you will play a critical role in helping seniors and individuals with disabilities navigate the complex world of Medicare and find the right healthcare plan to meet their needs.Key ResponsibilitiesWork...

About Specialist DirectWe are a leading telehealth company specializing in organ transplant services. Our cloud-based diagnostic solutions have improved organ utilization and increased placements nationwide.The RoleAs our Client Support Manager, you will oversee our 24/7 Client Support team, ensuring seamless client interactions and efficient workflow...

Job DetailsLevel: ExperiencedJob Location: Main Hospital - Los Angeles, CAPosition Type: Full TimeEducation Level: High SchoolDescriptionWe are seeking a skilled and motivated Patient Accounts Billing Representative II to join our team at Gateways Hospital and Mental Health Center. As a key member of our financial services team, you will be responsible for...

About Specialist DirectSpecialist Direct, Inc. is a pioneering telehealth company revolutionizing organ transplant care in the US. Founded in 2015, our cloud-based diagnostic solutions have significantly improved organ utilization and placement rates.The RoleWe are seeking a seasoned Client Support Manager to lead our 24/7 Client Support team. As a key...

Job Title: Japanese Bilingual Bookkeeping SpecialistAdvantage Technical is seeking a highly skilled Japanese Bilingual Bookkeeping Specialist to join our team. As a key member of our team, you will be responsible for providing exceptional bookkeeping and accounting services to our diverse clientele.Key Responsibilities:Communicate with clients to maintain...

Job SummaryWe are seeking a highly motivated and detail-oriented Prior Authorization Coordinator to join our team at UCLA Health.As a Prior Authorization Coordinator, you will play a critical role in ensuring the efficient operation of our complex health system. You will be responsible for processing prior authorization requests with accuracy and timeliness,...

Job Title: Key Account Sales SpecialistJoin our team at Advantage Solutions, a leading sales and marketing agency in North America, as a Key Account Sales Specialist. In this role, you will be responsible for driving revenue growth and improving client relationships.Key Responsibilities:Analyze data to identify trends and opportunities for improvement, and...