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
- 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
- ...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
- 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
- ...We're building a new healthcare clearinghouse In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances...ClaimsShift work
- ...Credentialing Services Specialist The Credentialing Services Specialist... ...vital role in ensuring that healthcare providers are accurately... ...issues to ensure uninterrupted claim processing and payment.... ...professionalism, and adherence to HIPAA and confidentiality standards...Claims
- ...ensure proper resolution and reimbursement of claims. Research denials and write appeals where... ...strict confidentiality and adhere to all HIPAA guidelines/regulations. Adherent to all... ...with a collaborative team. Comprehensive healthcare coverage. Retirement savings plan. Paid...ClaimsFull timeWork experience placementRemote workFlexible hours
$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- ...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
$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$120k - $130k
...workplace. The ideal candidate is a proactive healthcare professional with strong clinical... ...Coordinate and manage workers' compensation claims from initial injury through claim... ...employee medical records in compliance with HIPAA. Ensure compliance with OSHA, EPA, DOT,...ClaimsTemporary workWork at office- ...to support the revenue cycle through accurate billing, timely claim processing, and effective follow‑up. You will collaborate with... ...to resolve issues, reduce denials, and ensure compliance with healthcare regulations. The role emphasizes attention to detail, strong communication...ClaimsFull time
- Molina Healthcare is seeking a claims adjudication support specialist in Kentucky to address provider claim issues and inquiries. You will collaborate with enrollment, information management, benefits configuration, and processing teams to resolve questions efficiently...ClaimsWork at office
- Ensemble Health Partners is seeking a Billing Associate Specialist in Cincinnati, OH. You will perform a wide range of revenue cycle activities across multiple clients and systems, ensuring accurate claim submission and regulatory compliance. The role requires cross-training...Claims
- ...better? Join our team as an RCM Specialist I , where you'll play a vital... ...and rejected insurance claims, identify the causes, and drive... ...patient information and ensure HIPAA compliance in every... ...team committed to improving healthcare every day. This is a place where...ClaimsFor contractorsWork at officeLocal area
- ...Phlebotomist. FloatR is a startup company transforming the healthcare industry by providing phlebotomists with flexible job opportunities... ...intelligently matches qualified professionals eligible to claim those shifts. FloatR customers may also direct-hire from this ever...ClaimsLocal areaFlexible hoursShift work
$128k - $252.5k
...and help organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial... ...plan benefit changes, network changes, or other detailed claims analytics Review Medicare Advantage and Part D bid submissions...ClaimsWork at officeLocal areaVisa sponsorship$25 - $35 per hour
...forward-thinking health services organisation, dedicated to making healthcare more affordable and accessible. As a division of The Cigna... ...Providing clear and accurate information regarding pharmacy benefits, claims, and available health solutions. • Assisting customers with...ClaimsHourly payFull timeWork at officeRemote workHome office- ...prescriptions; preparing labels; calculating quantities. Adjudicates claims through insurances and completes necessary authorizations for... ...mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our...ClaimsFull timeLocal areaMonday to FridayAfternoon shift
- ...Orthopedic Billing Specialist Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence...ClaimsWork at office
- ...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
- ...family, is seeking a detail-oriented Accounts Receivable Specialist to join our growing healthcare transportation team in Cincinnati, OH. You will manage... ...receivable including medical billing, insurance claim follow-up, collections, payment posting, denial management...
- ...Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement. This may include obtaining claim... ...trains other follow-up staff as needed Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling...ClaimsFull timeDay shift
$17 - $18.65 per hour
...keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe... ..., OH ** The Billing Associate Specialist performs a wide range of revenue cycle activities... ...for resolving multidisciplinary claim edits including registration, coding, revenue...ClaimsWork at officeLocal areaRemote work- ...Certification Valid CPR certification at the Basic Life Support for Healthcare Provider level (American Heart Association) or Professional... ...sites Experience with the workers' compensation claim process Instructor certification for First Aid, CPR, and AED...ClaimsFull time
- Perseptex is seeking a motivated and creative Healthcare Marketing & Outreach Coordinator to help expand our presence globally. This is a... ...and leadership teams to ensure alignment on messaging, clinical claims, and external engagements. Commitment to 20 hours a week....ClaimsPart time
- ...manufactures radioactive sterile injectables. The ideal candidate will have a Bachelor's degree in a scientific field and 3-5 years of relevant QA experience in a regulated environment. Responsibilities include conducting GMP investigations, managing quality metrics, providing...
- ...Remote ESSENTIAL RESPONSIBILITIES: Follow-up on outstanding claims and appeals Work escalation views Review Vendor... ...School graduate or equivalent. 3 to 5 years’ experience in a healthcare insurance receivables environment Associate or bachelor’s degree...ClaimsLocal areaRemote work
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