Coding & Claims Resolution Team Lead
Medica
Medica is seeking a Supervisor of the Coding Analysts and Claim Resolution Analysts to oversee coding and claim resolution teams. You will support timely issue resolution for members and providers, and drive root-cause analysis with internal and vendor partners. The role requires leadership experience, a bachelor’s degree, and a willingness to work onsite ~3 days/week at multiple regional offices. Salary range is competitive with a comprehensive benefits package. #J-18808-Ljbffr Medica
$62.7k - $107.5k
...members are genuinely cared for. We're a team that owns our work with... ...feels valued. The Supervisor of the Coding Analysts and Claim Resolution Analysts within Operations is responsible... ...companywide initiatives or changes Leads communication to key strategic providers...ClaimsWork experience placementWork at office3 days per week- ...Park Nicollet is looking to hire a Claims Specialist to join our team! Come join us as a Partner for Good... ...to detail and demonstrated problem resolution skills. Must be able to effectively... ...terminology and procedural/diagnostic coding (CPT, ICD) knowledge will be helpful...ClaimsWork at officeLocal area
$68k
...Financial Services & InsuranceWorkforce Absence Team LeadPRIMARY PURPOSE: To supervise the... ...and technical staff for disability claims for clients; to monitor colleagues' workload... ...jurisdictions serviced.Ensures claims files are coded correctly and adequate documentation is...ClaimsFull timeContract workWork at officeLocal areaFlexible hours- ...professional services company with leading capabilities in digital, cloud... ...the collaboration of multiple team with Accenture team. This... ...Epic Tapestry certification in Claims, E&E, Benefits Engine, CRM, or... ...neighboring credential Resolute PB or HB experience - helpful...ClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...experienced Epic Billing Claims professional to serve as a Lead Application Analyst supporting... ...our Epic Billing Claims team. This role functions as a... ...testing and performs problem resolution. ResponsibilitiesLead the... ...team members configure code using specifications and design...ClaimsTemporary workRemote workRelocation package
- ...complex provider escalations, research issues across claims, payment, and access, and liaise between providers, internal teams, payers, and leadership. The role emphasizes root-cause analysis and improving resolution outcomes while reducing operational friction. The ideal...ClaimsRemote jobFlexible hours
- ...Consumer Experience Analyst The team consists of 8 on-site Consumer Experience... .... The team’s skill sets include coding automations in python, querying... ...including, but not limited to WFM, Consumer Resolution Center (CRC), Product, Claims, Call Ops, IT, Sales, Enrollment,...ClaimsFor contractorsImmediate start
- ...Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and... ...closely with medical providers and administrative teams to ensure accurate claim documentation Maintain confidentiality...ClaimsWork at office
- ...Analyst (P3). This senior contributor translates claims data into insights that inform financial performance, coding accuracy, and regulatory compliance, partnering with... ...actuarial, finance, clinical, and operational teams. The role requires strong applied analytics, CMS...Claims
$117.6k - $206k
...Palantir Foundry and AIP. You will lead the design and development of... ..., security, and engineering teams to deliver trusted reporting,... ...understanding of agentic coding, AI-assisted development, and... ...FHIR, HL7, Epic, Oracle Health, claims, provider, financial, operational...ClaimsFull time- A leading claims adjusting firm in Minnesota is looking for Independent Insurance Claims Adjusters. This role provides an opportunity to assist individuals and businesses in recovery from disasters while offering flexible work conditions, autonomy, and competitive pay....ClaimsFlexible hours
$34.2k - $58.6k
...members are genuinely cared for. We're a team that owns our work with accountability,... ...norm and every member feels valued. The Claims Appeals & Correspondence I position supports... ...accurate claim outcomes and timely resolution of member and provider requests. Performs...ClaimsWork experience placementRemote work$22 - $26 per hour
...deep experience in insurance verification, claims processing, and insurance verification... ...working closely with billing and finance teams. Key Responsibilities Patient Financial... ...Review claims for proper documentations, coding, and compliance with internal policies...ClaimsHourly payFull timeWork at officeLocal areaFlexible hours$97.16k - $111.42k
...revenue; perform expense cost projections and unpaid claim reserve estimates; access and extract data from... ...least one Actuarial exam;Microsoft Excel, including VBA coding;Microsoft Office suite including Outlook, Teams, or PowerPoint;Interpret, modify, and create Python...ClaimsInternshipWork at officeRemote work$37.6k - $64.4k
...members are genuinely cared for. We're a team that owns our work with accountability,... ...and every member feels valued. Medica's Claim Adjustment & Recoupment II role is responsible... ...live checks, conducting research and resolution activities, maintaining inventory timeliness...ClaimsWork experience placementWork at office3 days per week$50.8k - $87k
...genuinely cared for. We're a team that owns our work with accountability... ...valued. Medica's Supervisor, Claims Operations provides day-to-day... ..., and internal controls Lead claim payment reconciliation... ...Strong coaching, conflict-resolution, and relationship-management skills...ClaimsWork experience placementWork at office3 days per week$61.5k - $105.4k
...related for developing prospective claims editing while utilizing clinical coding and reimbursement policies.Must be... ...Integrity vendors and all related internal teams and external vendor partners.The... ...ability to lead, influence change, initiate and shape...ClaimsWork experience placement$72.8k - $130k
...healthier lives. The work you do with our team will directly improve health outcomes by... ...service orientation and knowledge of insurance claims to serve as an advocate for national... ...in claims processing and issue resolution Intermediate level of proficiency with Microsoft...ClaimsRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Cycle Specialist to join our Revenue Cycle team in Edina, MN. This position is... ...follow-up, payment plans, collections, and resolution of patient billing questions. The ideal candidate... ...companies and payers to resolve claim and reimbursement issues. Prepare and submit...ClaimsFull timeWork at officeFlexible hours
$160.3k - $297.7k
...access and reimbursement lead in business-to-business conversations... ...pathways, billing and coding education (as needed), claims processing, reimbursement,... ...tracking cases, issue resolution, reimbursement support,... ...expert for offices and field teams.Accountable for engagement...ClaimsFull timeWork at officeLocal areaRemote work$106k - $243k
...leader providing direction to team activities and facilitating... ...Analyzes design and determines coding, programming, and integration... ...project progress, and issue resolution for assigned components.Participates... ...of any third party claiming to represent the company. Any...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week- A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in Minnetonka, MN. The role involves helping clients recover from disasters while providing flexibility and competitive compensation. Candidates can be experienced or new and will receive...Claims
- ...and collaborates with hardware teams.Management Level Definition:... ...design and determines coding, programming, and integration... ...project progress, and issue resolution.Education and Experience Required... ...credentials of any third party claiming to represent the company. Any...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week
$91.7k - $163.7k
...years to come. Make an impact with a team that shares your passion for... ...a Senior Software Engineer in the Claims Global Claims Operations (GCO) team... ...components, design patterns, and secure coding practices across the application stack Lead design discussions, code reviews,...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work- ...: As the most critical team in our R&D organization... ...design and determines coding, programming, and integration... ...architecture.Leads a project team of other... ...project progress, and issue resolution.Represents the software... ...credentials of any third party claiming to represent the...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week
$24 - $26 per hour
...insurance coverage and eligibility prior to billing to prevent claim denials. Assist with Medical Assistance applications: Help patients... ..., and account statuses. Compliance: Stay updated with current coding guidelines, insurance policies, and healthcare regulations to...ClaimsHourly payCurrently hiringWork at officeLocal area$102.1k - $175.1k
...with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven... ...analyst role will possess an understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline...ClaimsWork experience placementWork at office3 days per week- ...Customer Success Lead (CSL) Notable is the leading healthcare... ...quarterback across Notable teams. This is a highly visible... ...and clarity, ensuring swift resolution and stakeholder confidence.... ...have been contacted by someone claiming to be a recruiter from Notable...ClaimsWork at officeRemote work3 days per week
- ...client. Handle a docket of civil claims from initial case assessment through final resolution, shaping strategy, appearing before... ...cases. At more senior levels, lead and coach colleagues and grow the... ...workflow. A kind, humble, team-oriented and service-minded approach...ClaimsFull timeWork at officeLocal area
- ...Billing Specialist to handle patient eligibility, billing, and claims processing. You will verify insurance coverage, maintain records... ...license and state certification are preferred, with professional coding and HIPAA knowledge a plus. #J-18808-Ljbffr Guardian PharmacyClaimsWork at office
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