Senior Claims Adjudicator - St Paul, MN

The Senior Claims Adjudicator position performs advanced professional and specialized program support work for the Paid Leave division. · Two (2) years* experience processing claims and/or appeals with one (1) of those years involving training, mentoring and/or coaching a team. · ...

+Job summaryAbout Paid Leave Division: Paid Leave is a new program launched January 1st. The program provides partial wage replacement to Minnesota workers out of work due to health condition or care of family member/new child. · +Two years experience processing claims/appeals wi ...

Reviews and adjudicates complex claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training or responding to issues. · Handles customer service inquiries · ...

+Job summary · As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300000 purpose-driven colleagues – caring for people where when and how they choose in a way that is uniquely more connected ...

h2>Job summary · p>Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency./p> · h2>Responsibilities · Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations ...

The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements.This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables ...

+The Adjudication Associate prepares and submits claims for accounts to ensure timely reimbursements. · +Follows established procedures to execute routine business support tasks. · Develops effective relationships with team members. · Conducts review and research of rejected clai ...

Park Nicollet is looking to hire a Claims Specialist to join our team. This position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. · ...

Park Nicollet is looking to hire a Claims Specialist to join our team. · ...

+The Claims team is looking for a highly motivated individual who works in an ever-changing environment where claim information needs to be processed efficiently and accurately. · +Serves department dedicated to issuing timely benefit payments to customers · Provides effective cu ...

The Claims team is looking for a highly motivated, energized and positive individual. We take pride in providing high standards of performance to our customers and strive to exceed those standards. · Serves department dedicated to issuing timely, accurate benefit payments to cust ...

We are seeking a Veteran SOAR Representative to join our team dedicated to connecting Veterans and their dependents to Social Security Administration (SSA) benefits. As a representative, you will work directly with Veterans and their spouses throughout the SSA disability claims p ...

This Senior Investigator role utilizes healthcare, accounting, law enforcement, medical coding and/or criminal justice system experience to combat waste, mismanagement, · misuse,and fraud in the Minnesota Medical Assistance program. · ...

The Minnesota Department of Veterans Affairs Veterans SOAR program supports the governor's vision to end Veteran homelessness in the State of Minnesota by securing stable income for Veterans with disabilities. · Two (2) years of experience in at least three (3) of the following a ...

This role involves working directly with Veterans and their spouses throughout the SSA disability claims process using the SOAR model. The Veteran SOAR Representatives promote, support, and administer the program by collaborating with federal and state agencies. · Interviewing cl ...

The Department of Human Services (DHS) is seeking a Senior Investigator to utilize healthcare experience to combat waste, mismanagement, misuse and fraud in Minnesota Medical Assistance program. · This position exists to investigate healthcare claims for potential cases of fraud ...

We are looking for a Java, Microservices, · Springboot, API/Integrations consultant · that has worked with WSO2. · ...

We are looking for a Java, Microservices, Springboot API/Integrations consultant that has worked with WSO2. · This person will be focused on healthcare payer project. ...

We are looking for a Java, Microservices, Springboot, API/Integrations consultant that has worked with WSO2. · This is a 5 month+ contract. · 5+ years designing and developing APIs. · Java/Spring/Spring Boot · GitHub/Jenkins/Groovy · ...

Become a part of our caring community and help us put health first. The Encounter Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement (HQRI) organization. · ...