Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is seeking a Medical Claims Reviewer in Louisiana to ensure accurate processing of medical claims. The role requires a minimum of 18 months of medical claim processing experience, strong attention to detail, and the ability to manage multiple tasks effectively. This full-time position offers a pay range of $18.50 to $42.35 per hour along with a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$18.5 - $42.35 per hour
We're building a world of health around every individual - shaping a... ...Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...specified claims and those that exceed specialist adjudication authority or...SeniorRemote jobHourly payFull timeWork experience placementLocal area- 100 LCMC Health is seeking a coding specialist responsible for applying complex ICD-10 and CPT codes for both inpatient and outpatient records. Candidates must hold a minimum two years of coding experience and relevant coding certification. The ideal candidate will have...Senior
$32.1 - $42.88 per hour
Enfrasolutions is seeking a Pre-Commissioning Senior Agent in Louisiana, Missouri, responsible for supporting the pre-commissioning department with complex equipment diagnostics and repairs. This role involves mentoring technicians, diagnosing issues in systems, and working...SeniorHourly pay- SCP Health seeks a Project Manager III to lead complex IT-related projects, ensuring they are completed on time and within budget. The ideal candidate will manage large cross-functional projects independently and mentor junior project managers. A minimum of 8 years of...Senior
- Syneos Health/inVentiv Health Commercial LLC is looking for an experienced professional to... ...evidence (RWE) studies using EMR and claims data. The ideal candidate will have a strong... ...across various departments to translate complex analytical results into actionable insights...Senior
- CVS Health is hiring a Senior Informatics Manager in Louisiana to oversee data analyses that enhance health plan performance... ...experience in healthcare analytics, including claims data, and a strong ability to communicate complex insights effectively. Join us to make a...Senior
$46.99k - $122.4k
...We're building a world of health around every individual - shaping a more connected, convenient... ...time. What you will do Routinely handles complex cases involving behavioral health or... ...to prevent payment of fraudulent claims committed by insured's, providers, claimants...SeniorHourly payFull timeTemporary workLocal area- Your job is more than a job. Join LCMC Health, and you’ll find that our everyday makes... ...and Clinical Documentation Improvement Specialists regarding documentation issues related to... ...resolution; provide resolution to moderate‑to‑complex problems. Track issues that require...SeniorWork at officeLocal areaShift work
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- ....POSITION PURPOSEIndividuals within the Senior Software Quality Assurance Engineer role... ...to resolve defects.Responsibilities:Work Complexity:Works on medium complex and cross-... ...In support of our mission to improve the health and lives of Louisianians, we encourage...SeniorWork experience placementWork at officeLocal areaRelocation
$64.89k - $173.04k
We're building a world of health around every individual - shaping a more connected, convenient... ...at a time. Position Summary The Senior Analyst position is within the Periodic Access... ...completeness and accuracy Execution of complex and challenging Periodic Access Reviews...SeniorHourly payFull timeTemporary workLocal area- ...Join Olsson’s Data Center Design team as a remote senior Fire Protection Engineer, where you’ll take the lead on complex, mission‑critical projects, including hyperscale... ...will receive our traditional benefits package (health care, vision, dental, paid time off, etc.) and...SeniorFull timeRemote workFlexible hours
$46.99k - $112.2k
We’re building a world of health around every individual - shaping a more connected, convenient... ...join our PS Finance Enablement team as a Senior Analyst on our Policies, Procedures, and... ...environment Experience with overly complex, inter-connected systems and business processes...SeniorHourly payFull timeTemporary workLocal areaImmediate start- Houston Methodist is looking for a Senior Inpatient Coder responsible for ensuring accurate diagnostic and procedure coding for inpatient... ...must have an associate's degree or higher in an accredited health informatics program and at least three years of relevant coding...Senior
- Ochsner Health in Louisiana is looking for a skilled Coder to accurately code hospital services and ensure compliance with coding guidelines. This position requires proficiency in various coding systems and collaboration with clinical teams for coding accuracy. Ideal candidates...Senior
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$46.99k - $122.4k
We're building a world of health around every individual - shaping a more connected, convenient... .... What you will do Routinely handles complex cases involving behavioral health or... ...Investigates to prevent payment of fraudulent claims committed by insured's, providers,...SeniorHourly payFull timeTemporary workLocal area$67.9k - $199.14k
We're building a world of health around every individual - shaping a more connected, convenient... .... Position Summary Aetna is seeking a Senior Manager, Strategic Planning & Governance... ...the ability to navigate organizational complexity, align diverse stakeholders, and...SeniorHourly payFull timeTemporary workWork experience placementLocal area- Syneos Health/ inVentiv Health Commercial LLC is looking for a Senior Clinical Scientist to contribute to protocol design, provide internal training, and perform clinical analysis. This role is vital in enhancing clinical expertise in drug development and ensuring compliance...Senior
$18.5 - $42.35 per hour
We're building a world of health around every individual - shaping... ...Receivable Associate, Senior Coordinator, will be responsible... ...Managing a high volume of medical claims that have denied by refuting... ...or health plan claims adjudication experience Preferred Qualifications...SeniorHourly payFull timeContract workTemporary workWork at officeLocal area$46.99k - $122.4k
We're building a world of health around every individual - shaping a more connected, convenient... ...Summary The Business Process Engineer (Senior Analyst) will be a part of the... ...business environment Documenting and analyzing complex business processes, from current-state process...SeniorHourly payFull timeTemporary workLocal area- Cheniere Energy, Inc. seeks a Senior/Staff Engineer, Process Safety Management in Cameron, LA, to provide governance and assurance for implementing Process Safety Management programs. The role involves supporting risk assessments, identifying Process Safety risks, and...Senior
- 340B Health is seeking a Utilization Management Nurse II based in Louisiana. This role involves assessing patient care appropriateness and ensuring optimal utilization of hospital resources. Candidates must have strong clinical competencies, communication skills, and a...SeniorFull time
- Ochsner Health is looking for a coding professional to accurately code and abstract hospital services and procedures. You will collaborate with providers and teams to ensure proper documentation and compliance with coding regulations. This role requires a high school diploma...Senior
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- Curana Health is looking for a licensed mental health professional to provide individualized therapy and counseling to enhance the quality of life for seniors. You'll conduct assessments, develop treatment plans, and offer support while collaborating with a dedicated care...Senior
$134.4k - $255.4k
Senior Clinical Scientist Clinical Surveillance & Training Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer... ...continuum, helping them navigate complexity, anticipate change and accelerate progress. Our...SeniorContract workFlexible hours- The State of Louisiana is seeking an Engineer 4 to evaluate the safety of critical facilities and infrastructure. This role requires a current license to practice professional engineering in Louisiana and experience in assessing life safety systems. The Engineer will consult...Senior
- ASR Group in Louisiana is seeking a Project Manager to oversee large-scale projects related to plant safety, process management, and operational efficiency. The ideal candidate will have extensive experience in project management and chemical processes. The position involves...Senior
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