Healthcare Mainframe QA Specialist — HIPAA & Claims
Robotics Prcocess Automation, LLC
Robotics Process Automation, LLC is seeking an experienced Mainframe QA Consultant to support healthcare applications in Cincinnati. This role involves ensuring the quality and accuracy of mainframe systems, performing manual testing, and validating compliance with HIPAA standards. The ideal candidate will have over 5 years of Mainframe QA experience, particularly in the healthcare domain, and will work closely with developers and business analysts to achieve testing goals. #J-18808-Ljbffr Robotics Prcocess Automation, LLC
- ...solutions provider is seeking an experienced Mainframe QA Consultant for a contract in Cincinnati.... ...quality of mainframe systems supporting healthcare operations. Responsibilities include... ...data handling in compliance with HIPAA. Candidates should have over 5 years of...MainframeContract work
- A healthcare technology firm in Cincinnati is seeking a skilled Mainframe QA Consultant for a contract role. The candidate will ensure... ...particularly in healthcare domains like claims and eligibility. This position... ...JIRA and an understanding of HIPAA regulations. #J-18808-Ljbffr...MainframeClaimsContract work
- ...We are looking for an experienced Mainframe QA Consultant to support healthcare applications for a contract engagement... ...support healthcare operations, claims, eligibility, and member data. Perform... ..., and member data Validate HIPAA-compliant data handling Identify,...MainframeClaimsPermanent employmentContract workLocal area
$19 - $26.4 per hour
...your career. Mullaney's Pharmacy & Home Healthcare, a member of the Guardian family of pharmacies... ...processing customer bills and insurance claims in an accurate and timely manner. This... ...applicable government regulations including HIPAA. Work as a collaborative team member to...ClaimsHourly payFull timeTemporary workWork at officeMonday to FridayFlexible hours- Cash Claims Processor needs 1+ years experience Cash Claims Processor requires: experience applying cash against medical claims 8a-430p Working knowledge of mainframe computers and systems in general, ie: AS400. Understands third party benefits and administration. Minimum...MainframeClaimsHourly pay
- A tech company in Cincinnati is looking for an experienced Mainframe QA Consultant to support healthcare applications. The role involves ensuring system quality and accuracy, performing manual testing, analyzing business requirements, and collaborating with developers and...Mainframe
- ...Function: Assists the Billing Manager with the claims submission and revenue cycle of the... ...: • Adherence to current HIPAA regulations and federal/state laws for patient... ...applicable • Process required referrals to specialists and/or facilities • Audit charges from EMR...ClaimsWork at officeRelocationShift work
- ...consultation, education, and cooperation with other healthcare professionals. Assess, diagnose, and... ...to the billing department to resolve claim reviews or denials. Contact... ...responsibilities. Upholds strict compliance with HIPAA guidelines and confidentiality agreements...ClaimsWork at officeTrial period
- ...We are looking for an experienced Mainframe QA Consultant to support healthcare applications for a contract engagement... ...support healthcare operations, claims, eligibility, and member data. ·... ...provider, and member data · Validate HIPAA-compliant data handling ·...MainframeClaimsContract work
- ...internal and/or external trainings Process customer returns and claims in a timely manner and initiate corrective action if necessary... ...BS Degree Knowledge of ERP systems such as SAP or AS 400 Mainframe a plus Prysmian, as an Equal Opportunity Employer, aims to attract...MainframeClaimsWork at officeLocal areaRelocation package
- ...certification preferred ~ Bachelor's degree in Healthcare Administration, Business or related.... ...leadership abilities ~ Compliance with HIPAA regulations and payer-specific... ...coding standards. Reviews and validates claims for completeness and correctness prior to...ClaimsFull timeWork experience placementWork at officeMonday to Friday
$22 - $26 per hour
...patients, nurses, home health aides, and claims team. Communicates with the Executive Director... ...years of staff scheduling experience in healthcare High School Diploma or higher education... ..., IN. RELATED COMPETENCIES Knowledge of HIPAA regulations and the ability to maintain...ClaimsHourly payFull timeWork at officeLocal areaMonday to Friday$17.15 - $18.05 per hour
...seeking 2 full-time Revenue Cycle Specialists to provide billing support... ...manner in an outpatient healthcare environment. This position will... ...party payers to file billing claims for services rendered, as well... ...to strict confidentiality and HIPAA regulations. QUALIFICATIONS...ClaimsFull timeWork at officeMonday to Friday$69.4k - $104.1k
...hospitals healthy. We recognize that healthcare requires a human touch, and... ...Documentation Integrity) specialists to determine if there are... ...or underpayments by analyzing claims, on a 30-day lookback, to identify... ...Office suite.Educated in HIPAA regulations; must maintain strict...ClaimsTemporary workWork at officeLocal areaRemote work$35k - $90.83k
...around them. Rula's mission is to make mental healthcare work for everyone. 1+ years as a... ...weeks with no need to worry about unpaid claims Rula pays you 100% of your time even when... ...you need it. We are fully compliant with HIPAA and have a Medical Records team to handle...ClaimsFor contractorsPrivate practice- ...Assistant – Entry Level A confidential healthcare organization is seeking a detail-oriented... ...to support billing, coding, insurance claims, patient billing questions, and general administrative... ...Maintain confidentiality and follow HIPAA, privacy, and company compliance...ClaimsWork at office
$110 per hour
...mission Rula's mission is to make mental healthcare work for everyone. Minimum... ...weeks with no need to worry about unpaid claims No-show protection: Rula pays you 10... ...and educating you on our guidelines and HIPAA-compliant EHR system. Practice support...ClaimsPart timeFor contractorsPrivate practice- ...processing Medicaid and third-party insurance claims for services delivered across Illinois... ...confidentiality and compliance with HIPAA and organizational standards. Competencies... ...demands Qualifications: Bachelor's degree in Healthcare Administration, Business, Finance, or...ClaimsWork at office
$80.3k - $110.41k
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global... ...results on time. Willingness to travel 10% - 25%. Relevant QA experience for 3-5 years in a 21 CFR Part 211 or 212 regulated industry...Temporary workLocal area$29.05 - $67.97 per hour
Molina Healthcare is seeking a clinical nurse responsible for reviewing documentation for medical necessity and appropriate care levels. The role involves appeals facilitation, claims auditing, and ensuring accurate billing under coding regulations. The ideal candidate...ClaimsHourly pay- ...About the job Claims Analyst Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare...Claims
- Mercor is seeking professionals for a role focusing on healthcare administrative workflows, specifically with Availity Essentials. Candidates... ...have at least 2 years of experience managing eligibility, claims, and authorizations, along with a background in healthcare administration...ClaimsRemote job
- Molina Healthcare is seeking a Claims Support Specialist in Covington, KY to provide assistance in claims adjudication. The role involves addressing provider claims issues, responding to inquiries, and ensuring accurate resolution while providing exceptional customer service...ClaimsWork at office
- ...NorthKey Community Care is seeking a full-time Revenue Cycle Specialist to provide billing support functions in a healthcare environment. The role involves interacting with payers to file claims and assisting clients with payment assurance, operating Monday through Friday...ClaimsFull timeMonday to Friday
- ...opening for a Director of Rehabilitation at Clifton Healthcare Center , where our therapists and Leaders are In-... ...with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. Conducts staff/family training and education when...ClaimsFull time
$18.5 - $38.82 per hour
...hiring for a Quality Champion role in Wyoming, Ohio. This full-time position entails advocating and maintaining quality standards in claims processing and customer service. Ideal candidates will have at least 2 years in health insurance, familiarity with diagnosis codes,...ClaimsHourly payFull time$83.25k - $155.51k
Molina Healthcare is looking for a lead level Business Analyst to support health plan payment integrity activities in Cincinnati, Ohio. The... ...role requires an understanding of managed care regulations, claims processing, and strong communication skills. The position offers...ClaimsRemote job- Overview Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve...Claims
- ...requires being in-office 1-2 days a week to investigate assigned cases and analyze claim data to detect fraudulent activities. Candidates with a BA/BS and 2 years of experience in healthcare insurance are highly encouraged to apply. Strong communication skills and the...ClaimsWork at office2 days per week1 day per week
- ...Associate's Degree or Diploma in Nursing Basic Life Support for Healthcare Providers (BLS) Registered Nurse Current Ohio licensure... ...monitoring, and support of work-related and personal disability claim supplier and third party administration activities. Provides active...ClaimsReliefLocal area
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