Senior Provider Reimbursement Admin: Claims & Policy Lead
Elevance Health
Elevance Health is seeking a Provider Reimbursement Admin Sr in Norfolk, VA to ensure accurate claims adjudication and manage reimbursement policies. This role requires a BA/BS degree and at least 4 years of related experience. The candidate will lead projects, work with vendors to develop policies, and mentor junior administrators. The position supports a hybrid work environment, requiring in-office attendance 1-2 days per week with compensation benefits and a focus on community impact. #J-18808-Ljbffr
- ...Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week... ...an office. Please note that per our policy on hybrid/virtual work, candidates... ...and recommends policy changes and claim system changes to pursue cost savings...SeniorPolicyClaimsContract workFor contractorsWork at officeLocal area1 day per week
- ...and connectivity, while providing flexibility to support... ...note that per our policy on hybrid/virtual work... ...sponsorship. The Provider Reimbursement Manager is responsible... ...adjudication of claims, by translating various... ...you will make an impact Leads policy development for...ReimbursementPolicyClaimsWork at officeLocal areaVisa sponsorship2 days per week1 day per week
- ...Position Overview Provider Contract/Cost of Care Analyst Senior – provides analytical support to Cost of Care and Provider... ...organizations. Focuses on lowering claims costs, improving quality of care... ...distance. Hybrid/virtual work policy applies as described. Key Responsibilities...SeniorPolicyClaimsContract workTemporary workFor contractorsWork at office1 day per week
- ...The Elevance Health Companies, Inc. is seeking a Provider Contract/Cost of Care Analyst Senior in Norfolk, VA. This role involves providing analytical support to lower claims costs while improving care quality and operational efficiency. Candidates should have at least...SeniorClaimsContract workWork at office
- Title Finance Provider Specialist Location Virginia Beach, VA Work Shift... ...adjustments to reduce medical claims expense in accordance with legal statutes, policy provisions, and company... ...Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and...ReimbursementPolicyClaimsTemporary workRemote workShift work
- ...Elevance Health is seeking a Provider Reimbursement Manager to oversee the provider reimbursement strategy, ensuring accurate claim adjudication by translating complex coding and billing... ..., with responsibilities including policy development and cost analysis for care initiatives...ReimbursementPolicyClaims
$83.75k - $137.59k
...collaboration and connectivity, while providing flexibility to support... .... Please note that per our policy on hybrid/virtual work, candidates... ...plans. Negotiates rates of reimbursement, as applicable. Assists in... ...problem solving with providers, claims, or service issues. Assists...ReimbursementSeniorPolicyClaimsWork experience placementWork at officeLocal areaVisa sponsorship- ...*Hampton, VA**Work Shift**First (Days)**Provider Specialty**Pain Management**Overview:***... ...and federal regulations, organizational policy, and best practices for pain management.... ...plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick...ReimbursementPolicyTemporary workRemote workShift work
- ## Advanced Practice Provider- Comprehensive Weight Loss- KempsvilleApplyremote type: On-... ...Retirement Packages ●Generous Time Off Policy ●$3,000 CME Allowance ●$10,000 Student Loan... ...• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave...ReimbursementPolicyTemporary workMonday to FridayShift work
- Construction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) Job Locations... ...experience developing and/or providing review and analysis of... ...Tuition Assistance and Student Loan Reimbursement ~ Numerous Training and Professional...ReimbursementSeniorClaimsFull timeContract workFor contractorsWork at officeNight shift
- ..., service issues, and claims with professionalism,... ...Communication and Leadership Lead daily pre‑shift... ...Service and Communication Provide exceptional guest... ...Adaptability Follow company policies and procedures. Adapt... ...work applications. Reimbursement for work‑related phone...ReimbursementPolicyClaimsHourly payMinimum wageFull timePart timeLocal areaFlexible hoursShift work
- ...A specialized electrical services provider is seeking experienced candidates for shipboard... ...equipment, with an emphasis on safety and policy adherence. Candidates must have five years... ...such as NSI 009-73. Ability to lead teams and manage project progress is key....SeniorPolicy
$17 per hour
...+ Bonus Opportunity Lead Technician Starting at... ...property. Our mission is to provide comfort after disaster.... ...Covered Life Insurance Policy of $30,000 ~ Gym Membership Reimbursement up to $50 per month... ...handle personal property claims. The 1-800-Packouts educational...ReimbursementPolicyClaimsHourly payFull time- ...VA EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our... ...schedule Comply with all company policies and procedures, including HIPAA Verify... ...Maternity Leave ~ Optical Education Reimbursement ~ Competitive Base Pay...ReimbursementPolicyWork at office
- ...collaboration and connectivity, while providing flexibility to support... .... Please note that per our policy on hybrid/virtual work, candidates... ...policy, and contractual reimbursement requirements. The Quality Auditor... ...and outpatient facility claims, including itemized bill line...ReimbursementPolicyClaimsWork at officeLocal area2 days per week1 day per week
$22 - $30 per hour
...Position Summary Provides member service by acknowledging... ...with company policies and procedures; supporting... ...by properly handling claims and returns; zoning the... ...cleaning all departments. Leads and participates in... ...and surrogacy expense reimbursement, and more. Live Better...ReimbursementPolicyClaimsHourly payMinimum wageFull timeTemporary workPart time$72.5k - $100k
...grown into a global organization. The firm provides wealth management and financial... ...Financial wellness programs Fitness event reimbursement and gym discounts Colleague Assistance and... ...year vesting Equal Employment Opportunity Policy Employment Enterprises, Inc. is an equal...ReimbursementSeniorPolicyFull timeTemporary workWork at office$95.17k - $149.56k
...person training sessions, providing maximum flexibility... ...note that per our policy on hybrid/virtual work... ...high quality recoverable claims for the benefit of the... ...billing guidelines, payer reimbursement policies, billing... ...strategy but will also lead to personal and professional...ReimbursementPolicyClaimsFull timeTemporary workWork experience placementLocal area1 day per week$67.2k - $115.92k
...person training sessions, providing maximum flexibility... ...note that per our policy on hybrid/virtual work... ...Negotiates rates of reimbursement, as applicable. Assists... ...solving with providers, claims or service issues.... ...strategy but will also lead to personal and professional...ReimbursementPolicyClaimsFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week$48.4k - $72.8k
...their level of experience, Level I, II, Senior Auditor, Lead Senior Auditor or Audit Project... ...programs in conformance with NEXCOM and MWR policies and procedures under the application... ...progressively responsible experience which provided a knowledge of the principles,...SeniorPolicy$75.68k - $119.2k
...person training sessions, providing maximum flexibility... ...note that per our policy on hybrid/virtual work... ...Negotiates rates of reimbursement, as applicable. Assists... ...solving with providers, claims or service issues.... ...strategy but will also lead to personal and professional...ReimbursementPolicyClaimsFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week- ...system and integration issues, perform root‑cause analysis, and provide crisis management support when necessary. Configure Oracle... ...BlackLine, and Longview. Assist with creation of technical documentation, manuals, and IT policies for Finance applications #J-18808-Ljbffr...SeniorPolicyWork experience placement
$17 - $24.26 per hour
...than most primary care providers. We're rapidly... ...compliance to the company's policies and procedures. Employees... ...techniques, creates claims for order errors and damaged... ...claims for 3rd party reimbursement efficiently and... ...transforming healthcare for seniors and changing America's...ReimbursementPolicyClaimsHourly payFull timeWork at officeImmediate startFlexible hours$21 - $29 per hour
...processes and procedures providing direction and guidance... ...with company policies and procedures supporting... ...responsibility by handling claims and returns zoning the... ...issues and problems Leads and participates in teams... ...and surrogacy expense reimbursement, and more. Live...ReimbursementPolicyClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office- ...Accounting from Billing System. Provide customer service both on the... ...members and to ensure timely reimbursement. Follow-up on all outstanding insurance claims at 60-days from the date of service... .... Adhere to all practice policies related to OSHA, HIPAA and Medicare...ReimbursementPolicyClaimsWork at officeFlexible hours
$115.02k - $207.22k
...and connectivity, while providing flexibility to support... ...note that per our policy on hybrid/virtual work... ...Clinical Validation leads a high-performing team... ...discrepancies and recoverable claim opportunities, and... ...guidelines, payer reimbursement policies, billing validation...ReimbursementPolicyClaimsTemporary workWork experience placementWork at officeLocal areaShift work3 days per week1 day per week- ...in Nashville, Tennessee, PMC provides valet and self-parking management... ...hotel standards and company policies. Duties and Responsibilities... ...any existing damage on claim tickets. Safety Safely park and... ...accessing work applications. Reimbursement for work-related phone usage...ReimbursementPolicyClaimsHourly payMinimum wageFull timePart timeLocal areaNight shiftWeekend workAfternoon shift
- ...with Alchemy Financial, you'll be responsible for selling policies to clients, handling claims, and keeping track of policy renewals. Our ideal... ...alongside insurance adjusters Maintain all client records Provide continual service by processing insurance renewals and...PolicyClaimsWork at office
- ...charge corrections and reconciliation of claim files for assigned area of... ...matching contribution* Supplemental insurance policies, including legal, Life Insurance and AD&... ...plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave...ReimbursementPolicyClaimsFull timeTemporary workRemote workMonday to FridayFlexible hoursShift work
$102.96k - $185.33k
...and connectivity, while providing flexibility to support... ...note that per our policy on hybrid/virtual work... ...prospective and retrospective, claims, vendor quality, and... ...expert on coding. Leads and consults with... ...providers and provider reimbursement models preferred. Experience...ReimbursementPolicyClaimsTemporary workWork at officeLocal area2 days per week1 day per week
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