Product Owner - Group Health Claims & No Surprises Act
Prime Health Services, Inc.
Prime Health Services, Inc. is seeking a Group Health Product Owner to translate priorities into actionable work for Engineering and ensure successful delivery of enhancements to Commercial Group Health solutions. The role focuses on Group Health claim processing, No Surprises Act compliance, ERISA considerations, including Qualifying Payment Amounts and claim scrubbing, with cross-functional collaboration in an agile environment. #J-18808-Ljbffr Prime Health Services, Inc.
- Description The Group Health Product Owner serves as the subject matter expert for Prime Health’s Commercial Group Health solutions... ...requires expertise in Commercial Group Health claim processing, including the No Surprises Act, ERISA-related claim considerations, Qualifying...ClaimsTemporary workWork at officeFlexible hours
- ...for processing and mailing/transmitting claims, tracking claims, monitoring authorization... ...Conduct, HIPAA, and Federal False Claims Act Report concerns and suspected incidences... ...process improvement responsibilities Meet productivity goals Successful completion of required training...ClaimsLocal areaImmediate start
- ...sustainability for hospitals, health systems, and ambulatory... ...Revenue Specialist, Third-Party Claims investigates and analyzes Motor... ...balances for our clients. The role acts as the liaison between... ...ability to meet and/or exceed productivity targets. Maintains a professional...Claims
- STAR Physical Therapy in Franklin, TN is hiring an Accounts Receivable Representative to manage insurance claims and ensure timely reimbursement. The role involves correspondence with insurance providers and collaboration with various internal departments. The ideal candidate...ClaimsWork at office
$21 per hour
...Therapy, we exist to serve. We strive to make a difference in the health and well-being of our patients through clinical excellence and... ...Therapy is responsible for managing and following up on insurance claims to ensure timely and accurate reimbursement. This role involves...ClaimsWork at office$55k - $125k
...Flexible schedule Health insurance Opportunity for... ...services agency and top 10 overall production agency in our territory, we'... ...meaningful customer relations and acting as a liaison between customer... .... Process insurance claims and follow up with customers...ClaimsFor contractorsWork at officeFlexible hours- ...demeanor with Team Members Thinks and acts quickly in a fast-paced, high-volume... ...Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry as... ...atmosphere and culture Benefits package with health, dental and life - View our full benefits...ClaimsFull timePart timeCasual workImmediate startFlexible hoursShift workWeekend workAfternoon shift
- ...Job Description Benefits: ~ Health insurance ~ Opportunity for... ...updates. Process insurance claims and follow up with customers.... ...meaningful customer relations and acting as a liaison between customer... ...marketing relevant products and services. Grow your career...ClaimsFlexible hours
- ...Registered Nurse or Physical Therapist with Home Health experience required Position Overview... ..., and other performance data to measure productivity and goal achievement and to determine... ...collection efforts to generate clean claims • Perform other duties as assigned...ClaimsFull time
- ...automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. By... ...the timely filing or re-adjudication of Motor Vehicle Accident claims by the Revenue Specialists. Primarily interacts by phone with...ClaimsFlexible hours
$45k - $75k
...meaningful client relations and acting as a liaison between customer... ...marketing relevant products and services. Grow your career... ...coverages, policy changes, transfers, claim submissions, and billing clarification... ..., Business Insurance, Health Insurance, and Renters Insurance...ClaimsFor contractorsWork at office$725 per month
...ongoing programs catered to your overall health and wellness. Full suite of health insurance... ...Managed Care, Medicaid, and coinsurance claims through clearing house, online portals,... ...so our residents can find connections in groups and 1:1 settings. Industry leader in...ClaimsHourly payFull timeContract workTemporary workPart timeWork at officeLocal areaRemote workFlexible hours- Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with... ...is appropriate for billing. Manage claim hold buckets that pertain to clinical and... ...complies with the Americans with Disabilities Act ("ADA"), the ADA Amendments Act of 2008 ("...ClaimsReliefWork at officeLocal area
$54.3k - $159.12k
We're building a world of health around each individual - shaping... ...workflow capabilities to drive productivity, improve colleague experience... ...and drive intended outcomes Act as a bridge between... ...with contact center operations, claims, or member/provider experience...ClaimsHourly payFull timeTemporary workWork experience placementLocal area$17 - $28.46 per hour
...We're building a world of health around every individual shaping... ...time. Position Summary Acts as an advocate and subject matter... ...effectiveness of work processes in claim processing and customer... ...service operations for multiple products and platforms to drive full and...ClaimsHourly payFull timeTemporary workWork at office- American Health Partners in Franklin, Tennessee is seeking a Medicare Risk Adjustment Coding Specialist responsible for conducting coding... ...coding reviews. The role requires extensive experience in claims processing and knowledge of CMS regulations. Ideal candidates will...ClaimsRemote job
- ...company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding... ...Manage prior authorization, high-cost cases, claims editing and clinical policy development Clinical program...ClaimsRemote work
$50k - $100k
...empathetic professional for the role of Life/Health Insurance Position - State Farm Agent... ...best Life/Health insurance services and products to benefit clients and their families. Your... ...to clients. Assist clients with claims and policy changes. Develop and maintain...ClaimsRelocation packageFlexible hours- ...sustainability for hospitals, health systems, and ambulatory surgery... ...from 10M+ processed claims, and expert human-in-the-loop... ...proactive communication. The Director acts as an extension of the client,... ...value proposition and ROI across product lines. Generates EnableComp’s...ClaimsFlexible hours
- American Health Plans in Franklin, TN is seeking a motivated individual proficient in claims processing to join their team. The role involves conducting audits, ensuring compliance with CMS regulations, and providing excellent customer service. Candidates need two years...Claims2 days per week3 days per week
- ...State Farm insurance and financial service products. Responsibilities Establish customer... ...eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.... ...(must be able to obtain) Life and Health license (must be able to obtain) #J-18808...ClaimsHourly payFor contractors
- ...empathetic professional for the role of Life/Health Insurance Position - State Farm Agent... ...best life/health insurance services and products to benefit clients and their families. Your... ...to clients. Assist clients with claims and policy changes. Develop and maintain...ClaimsRelocation packageFlexible hours
- ...necessary. Facilitate workers' compensation claims process, ensuring timely reporting and... ...degree in Environmental Science, Occupational Health and Safety, or related field. Proven... ...gender identity. Worker Type: Regular / Permanent Group: Magna Exteriors #J-18808-Ljbffr...ClaimsPermanent employmentLocal areaImmediate start
- CVS Health is seeking a Quality Specialist to champion quality across claim processing and customer service. You will audit operations, influence cross-functional change... ...efficiency. Ideal candidates have 1+ years in production and administrative settings, are proficient in...ClaimsWork at office
$52k - $78k
...Whether we're helping someone navigate a claim or personalize a plan, we believe in doing... ...their needs and provide available product information. Assist in developing relationships... ...Retirement Planning, Business Insurance, Health Insurance, and Renters Insurance. Our...ClaimsFor contractorsWork at office- ...Farm Agent in Franklin, TN seeks a qualified Life/Health Insurance Position - Team Member to market life and health products and assess clients' needs. You will help... ...dedicated to client service and support through claims and policy changes. #J-18808-Ljbffr Matt Cole...ClaimsFlexible hours
- Ardent Health is a leading provider of healthcare in communities... ...and analyzes medical records, claims, and workflow processes to ensure... .../feedback individually or in group settings. Adhere to policies... ...to audit schedules and production standards set by Physician Compliance...ClaimsWork at office
- ...community to promote State Farm products including auto, home and life... ..., policy changes, transfers, claim submissions, and billing clarification... ..., you will receive Simple IRA Group Life Insurance Benefits 401K Salary plus commission/bonus Health benefits Paid time off (...ClaimsFor contractorsWork at officeRelocation packageFlexible hours
- ...appointments for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits... ...potential What You’ll Gain Competitive benefits including health insurance, retirement savings plans, six paid holidays, and PTO...ClaimsDaily paidWork at officeLocal area
$16 - $20 per hour
...Healthsource Chiropractic Opportunity If health and wellness are important to you, and... ...financial reviews with patients Make product and supplement recommendations based on the... ...file, collect, and expedite third-party claims Maintain business office inventory...ClaimsHourly payWork at office
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