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9 fresh jobs found
Claims Research & Resolution Lead
Remote US, United States Humana logo Humana
Long Term Services and Supports Trending Claims research Provider education Functional strategies Managed Care Contracts Claims resolution Driver safety program Microsoft Office Applications +66
Senior Mid Full Time
USD 94K+
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Encounter Data Management Professional
Remote US, United States Humana logo Humana
Humana Image View Station CMS.gov Enterprise Portal EHub Encounter data management Edifecs Encounter data Claims research Microsoft SQL CAS +53
Mid Full Time
USD 59K+
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Revenue Cycle Representative, Reconsiderations
Remote CareCentrix logo CareCentrix
Healthcare collection procedures Claims research Mathematical Calculations Invoice processing Icd-9 coding Medical claims ICD-9 CPT coding Microsoft Access +17
Mid Full Time
USD 32K+
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Business Analyst IV - Claims
Remote-FL, United States Centene Corporation logo Centene Corporation
HEDIS Analysis Amisys Claims research TruCare MicroStrategy Process redesign Quality review Risk Evaluation Claims analysis +38
Entry Mid Full Time
USD 86K+
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Grievance & Appeals Coordinator I
Remote-NY, United States Centene Corporation logo Centene Corporation
Grievance Claims research Grievance resolution Grievances Managed care experience Researching HEDIS Organizing Appeals +17
Entry Mid Full Time
USD 64K+
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Grievance & Appeals Coordinator I
Remote-AZ, United States Centene Corporation logo Centene Corporation
Grievance Claims research Grievances Managed care experience Researching Claims resolution Organizing Appeals Tracking +16
Mid Full Time
USD 38K+
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Claims Research Specialist
Remote-MO, United States Centene Corporation logo Centene Corporation
Medicaid benefits Claims billing Claims research Government programs Claims payment Provider Relations Payment Processing Health Plan Referrals +15
Mid Full Time
USD 77K+
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Senior Quality Auditor
Remote-CA, United States Centene Corporation logo Centene Corporation
Health insurance regulations Claims research Provider data management Researching Medical Review Claims Adjudication Adjudication Business solutions Training Programs +26
Senior Mid Full Time
USD 44K+
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Insurance Services Representative
Remote, PA, United States R1 RCM logo R1 RCM
Hcfa Insurance collection UB04 Claims research ICD-9 codes Patience Authorizations EOB CPT codes +27
Entry Full Time
USD 40K+
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