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$24 - $43 per hour
...Senior Recovery Resolution Analyst Optum Insight is improving the flow... ...to determine the accuracy of claims submitted by a provider to... ...government compliance guidelines, coding requirements and policies.... ...analytical areas Participates in team and department meetings...ClaimsHourly payMinimum wageFull timeContract workWork experience placementLocal areaRemote work$24 - $32 per hour
...Billing Specialist to join their team. This organization provides... ...revenue cycle by ensuring medical claims are processed accurately and... ...patients to facilitate claim resolution. Collaborate with... ...current knowledge of CPT and ICD-10 coding, payer policies, and reimbursement...ClaimsPermanent employmentContract workWork at office$37.6k - $64.4k
...members are genuinely cared for. We're a team that owns our work with accountability, makes... ...norm and every member feels valued. The Claim Appeals & Correspondence II position is... ...Collaborate with PNOM, 1st Pass Claims, PI, Coding, Configuration, and other departments as...ClaimsWork experience placementRemote work- ...Lead Insurance Denials Specialist RAYUS Radiology is looking... ...Denials Specialist to join our team. We are challenging the status... ...authorization department or payer claim processing department ~... ...experience Completion of a coding certificate program in a program...ClaimsFull timeRemote work
- ...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
$23 - $25 per hour
...with radiation treatments or procedures to ensure health insurance claims are processed and paid correctly · Communicate internally with... ...carriers. · Prefer previous understanding of billing, coding, insurance carriers and/or radiation oncology. · Excellent computer...ClaimsHourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work2 days per week1 day per week$23 - $31 per hour
...filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing... ...with correcting ethical and compliance issues and problems Leads and participates in teams by using and sharing resources information and tools determining...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office- ...Patient Coder will handle medical coding and data entry / abstraction... ...queries. Accurately review claims for medical necessity. Update... ..., and works to strengthen the team as a whole. Floats between multiple... ...follow through on issues to resolution. Must be able to act both...ClaimsContract work
$23 - $31 per hour
...filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing... ...with correcting ethical and compliance issues and problems Leads and participates in teams by using and sharing resources information and tools determining...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office- Sedgwick Claims Management Services Ltd. is seeking a Team Lead Claims Adjuster for Workers Compensation in a remote role focused on adjudicating complex claims and leading multiple examiner teams. You’ll apply your adjuster and leadership experience to deliver client-...ClaimsRemote job
- ...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
$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$62.7k - $107.5k
...members are genuinely cared for. We're a team that owns our work with accountability,... ...Data for Trends & Insights Evaluate claims, utilization, pharmacy, or operational data... ...Follow best practices in coding, data handling, and documentation Incorporate...ClaimsFull timeWork experience placementWork at office3 days per week- ...communities connected. Join TKDA as a Lead Construction Services... ...member of our multidisciplinary team, you will collaborate with... ...deficiencies, and coordinate timely resolution with contractors, designers,... ...construction risks, potential claims, and emerging issues; and...ClaimsDaily paidContract workFor contractorsH1bWork at officeLocal areaVisa sponsorshipWork visa
- ...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... ...digital workflow.A kind, humble, team-oriented and service-minded approach...ClaimsWork at officeLocal area
$20 - $22 per hour
...What youll do Manage insurance claim denials from identification through final resolution Review EOBs remittance advice and payer... ...payer deadlines Partner with billing coding clinical utilization review and authorization teams to resolve issues Post payments and...ClaimsFull timeWork at officeRemote work$24 - $43 per hour
...Medical Coding Auditor Optum is a global organization that delivers care, aided by technology... ...lives. The work you do with our team will directly improve health outcomes by... ...is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group...ClaimsRemote jobHourly payMinimum wageFull timeContract workWork experience placementLocal area- 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
$56.6k - $97k
...genuinely cared for. We're a team that owns our work with accountability... ...position is responsible for leading the analysis, validation, and... ...platforms (e.g., enrollment & claims systems and dashboards).... ...experience beyond degree Experience coding with SQL Excel Preferred...ClaimsWork experience placementWork at office3 days per week- 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
$29 - $52 per hour
...lives. The work you do with our team will directly improve health... ...comprehensive understanding of the claim review process including... ...as applicable Assists with resolution of claims as needed to support... ...Associate's degree Auditing and coding certifications Experience...ClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote work- ...collaborates and communicates with both internal teams inside and outside of the revenue cycle... ...process or experience in billing claims with Minnesota Medical Assistance (MA) Electronic... .... General knowledge of CPT and ICD-10 coding principles and guidelines as related to...ClaimsFull timeWork experience placementWork at officeRemote work
- Medica, a nonprofit health plan, seeks a Claim Appeals & Correspondence II to manage inventory of claim appeals, VIP cases, and inquiries remotely from the United States. The role involves researching, analyzing, and resolving post-adjudication issues with cross-functional...ClaimsRemote job
$91.7k - $163.7k
...policies, contractual agreements, and processed claims data to identify incorrect provider... ...financial impact of overpayments. Our teams ensure recoveries are executed accurately... ...experience2+ years of experience with healthcare coding guidelines, reimbursement policies, and...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- Optum in the United States is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding expertise to inpatient claims. You will validate ICD-10 coding, DRG assignments, and discharge statuses, producing clear rationales and supporting audit findings. You can telecommute...ClaimsRemote job
$137k - $231k
...cultivating the right team for every job. We are committed... ...Regional Controller leads the regional accounting... ...contract setup, cost coding, earned revenue/... ...receivables and dispute resolution. Ensure AP execution... ...applicable; coordinate claims and lien/bond matters with...ClaimsContract workFor contractorsFor subcontractorCurrently hiringWork at officeLocal areaFlexible hoursNight shift- Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims. You will write clear rationales and use proprietary tools to move claims through workflow, contributing to accurate reimbursements. The role supports...ClaimsRemote job
- ...Description As collision estimator, you'll inspect damaged vehicles, prepare clear repair estimates, and help move insurance claims toward resolution. You'll work with vehicles owners, repair professionals, and insurance representatives to assess damage, explain findings,...ClaimsWork at office
$24 - $43 per hour
...Clinical Professional Coding Analyst Optum is a global... ...work you do with our team will directly improve... ...Analyst supports the Pre-Pay Claims Validation (PPCV)... ...this is what you get. Leading edge technology in an industry... ...communication, issue resolution, and achieve shared...ClaimsHourly payMinimum wageFull timeWork experience placementLocal areaRemote work
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