Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
5+ YOE5+ years claims processing experience; high school diploma required; leadership experience preferred; proficient with claims platforms and Excel.
Claims platforms, Excel, Reporting tools, Operational dashboards, Microsoft Excel, Dashboards
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
Natasha Heykoop - State Farm Agent: Local agency providing personal insurance and financial planning services.
Customer-service and organizational skills; previous insurance or related experience preferred; able to manage accounts, process claims, and coordinate with underwriters.
Raphael Health Center: Provides community-based medical, dental, and behavioral health care services.
Requires CPC or HCPCS certification; coding charts, auditing, claims denial follow-up, knowledge of medical terminology, claims processing, Medicaid/Medicare, full billing cycle, and proficiency with Microsoft Office and practice management systems (ECW preferred).
Microsoft Office, Practice Management Systems, ECW
Kellie Taylor State Farm Agent: Provides insurance products and financial services to local customers.
Customer-service oriented professional with strong organization and communication skills; previous insurance experience preferred; ability to manage customer accounts, process claims, and coordinate with underwriters.
Raphael Health Center: Provides community-based medical, dental, and behavioral health care services.
2+ YOE2+ years billing experience or business school training preferred; knowledge of medical terminology, claims processing, coding, Medicaid/Medicare, managed care, and practice management systems.
Sedgwick: Provides global insurance claims management and risk services.
1+ YOEProcess and analyze FMLA and other unpaid leave claims, determine eligibility, communicate with claimants, and maintain documentation; high school diploma and 1+ year admin experience required.
Walgreens: Retail pharmacy providing prescriptions and health and wellness products.
Assist pharmacist with dispensing, data entry, inventory, customer service, claims processing, and basic clinical service support. PTCB certification preferred; flexible schedule including evenings/weekends.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma/GED, 1+ year pharmacy/benefit verification experience, active Indiana pharmacy technician registration required, knowledge of pharmacy benefits, PBMs, Medicare/Medicaid, and test claim processes.
Louisville or Atlanta or Wallingford or Lake Mary or Indianapolis or Tampa or Miami or Durham or Columbus or Grand Prairie or Winston-Salem
RemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
2+ YOEHigh school diploma or equivalent and minimum 2 years claims processing/customer service plus 2 years COB experience using NAIC and CMS guidelines; strong communication, organization, and multitasking skills.