...standardized processes for managing add or change requests and implementing requests in the letter generation system
+ Create and review denial letters to determine compliance with contractual and regulatory requirements of the State and Federal programs, while...
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...Clinical Letter Review LPN - Optum West Remote at UnitedHealth Group in Boise, Idaho, United States Job Description For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the...
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...Coding and OASIS Review (RN, PT, OT, SLP) at Bayada Home Health Care in Boise, Idaho, United States Job Description Please note- Candidates must have COS-C, HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement. BAYADA...
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...Clinical Data Reviewer at ICON Strategic Solutions in Boise, Idaho, United States Job Description As a Clinical Date Reviewer you will be joining the world's largest & most comprehensive clinical research organisation, powered by healthcare intelligence. What you will...
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...IP Coding Quality Reviewer at R1 RCM in Boise, Idaho, United States Job Description Overview As our Inpatient Coding Quality Reviewer, you will be responsible for reviewing inpatient-coded cases for coding completeness and accuracy. Identify potential coding and DRG errors...
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...Voluntary Claims Specialist at Lincoln Financial Group in Boise, Idaho, United States Job Description Alternate Locations: Work from Home... ...you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values...
Claims
Work experience placement
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Work from home
Relocation package
Flexible hours
...Claims Representative I - REMOTE at Ryder System in Boise, Idaho, United States Job Description Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (SUMMARY This position handles physical damage claims under Ryder's self-insured, self administered...
Claims
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...Voluntary Claims Specialist I at Lincoln Financial Group in Boise, Idaho, United States Job Description Alternate Locations: Charlotte... ...resources (e.g., other internal teams, practices/procedures, etc.) to review submitted claim information for payment. - Applying core...
Claims
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...Leaves Claims Specialist at Lincoln Financial Group in Boise, Idaho, United States Job Description Alternate Locations: Phoenix, AZ (Arizona... ...you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values...
Claims
Work experience placement
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Relocation package
Flexible hours
...Claims Processor at Highmark Health in Boise, Idaho, United States Job Description Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review...
Claims
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...Claims Examiner - Auto at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything... ...and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and...
Claims
Local area
...Medical Claim Analyst at Crawford & Company in Boise, Idaho, United States Job Description Excellence In Everything We Touch Position... ...requested. Alerts Team Manager of any errors or discrepancies. + Reviews and updates data into a computerized system. + Approves payments...
Claims
...Claims Analyst 2 at Public Consulting Group in Boise, Idaho, United States Job Description Overview About Public Consulting Group Public... ...the public sector. To learn more, visit . Responsibilities Reviews claims for irregularities, accuracy and completeness. Requests...
Claims
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...Credit Risk Review Officer at U.S. Bank in Boise, Idaho, United States Job Description At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support...
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...The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation... ...to client and carrier guidelines and participates in claims review as needed.
* Assists other claims professionals with more complex...
Claims
Hourly pay
Minimum wage
Full time
Local area
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Flexible hours
...AVP of Claims at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having...
Claims
...Lead Claims Auditor at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine... ...to report issues and determine resolutions. Job Description + Reviews benefit plans to ensure that claims are being adjudicated...
Claims
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...Benefits Claims Supervisor at Trustmark in Boise, Idaho, United States Job Description Trustmark's mission is to improve wellbeing -... ...provided in daily interactions as well as in periodic performance reviews. + Promptly address customer issues, external and internal,...
Claims
...Job Description
Job Description Health2Business is seeking an experienced and dynamic Claims Manager to join our team. The Claims Manager will be responsible for overseeing all aspects of the claims process, ensuring accuracy and efficiency in claims processing. The...
Claims
...The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation... ...to client and carrier guidelines and participates in claims review as needed
* Develops and maintains professional customer...
Claims
Minimum wage
Full time
Local area
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...Inpatient Coding Quality Reviewer- Hospital at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do: The Coding Quality Reviewer shall report directly to the Internal Quality...
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Job Description
Job Description Benefits include a flexible schedule, opportunities for ongoing professional development, Holiday Pay, Vacation Pay and a Retirement Plan. We work hard but have fun.
Job could be full time or 25-30 hour per week depending on the ...
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Full time
Flexible hours
...Dental Claims Approver II at Guardian Life in Boise, Idaho, United States Job Description Are you a driven, service-oriented individual... ...passion for service. You will: A Dental Claims Approver reviews and processes claims that cannot be processed automatically by...
Claims
Local area
Flexible hours
Join Forbes' 2024 Best Employer for Diversity!
As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. This is not a field position which means you'll be building relationships with customers over the phone....
Claims
Hourly pay
Temporary work
Traineeship
Work experience placement
Local area
Home office
Flexible hours
Monday to Friday
...Mechanical Claims Specialist at Ally in Boise, Idaho, United States Job Description General information Ref # 17207 Remote? Yes Ally and Your Career Ally Financial only succeeds when its people do - and that's more than some clich people put on job postings. We live this...
Claims
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Flexible hours
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Monday to Friday
...Claims Specialist, Property at Zurich NA in Boise, Idaho, United States Job Description Claims Specialist, Property 112190 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move...
Claims
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...Claims Examiner - Property/Auto at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything... ...an estimate or by obtaining a contractor's estimate for review. ESSENTIAL FUNCTIONS and RESPONSIBILITIES + Processes complex commercial...
Claims
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For contractors
Local area
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...Pharmacy Claims Representative at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile...
Claims
Holiday work
Local area
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Shift work
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Monday to Friday
...Liability Claims Representative at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring...
Claims
Contract work
Local area
...Property Claims Specialist I or II at Zurich NA in Boise, Idaho, United States Job Description Property Claims Specialist I or II 1096... ...appropriate. + Establishing timely reserves and performing ongoing review throughout claims cycle within authority limit by estimating and...
Claims
Summer work
Remote job
Flexible hours