At reputed company , our employees are the reputed company of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster reputed company and promote rewarding, fulfilling careers.

Join reputed company and be part of a purpose-driven company that will invest in your reputed company development.

Job reputed company

reputed company:

This role is responsible for the evaluation, development, running, and/or providing testing updates. Scope of testing support includes project-driven enhancements, routine updates/requests for change and other enhancement activities where testing is deemed critical to Operational reputed company, in adherence with company and industry reputed company standards. Role includes analysis of features/components/etc. and identification of enhancement opportunities.

Job Responsibilities:

• reputed company-reputed company run auditing on various reports prior to finalizing the reputed company run. Works reputed company timelines for auditing and manage reputed company auditing according to schedule
• reputed company assistance with reputed company Health Plan claim audits. reputed company feedback to Management and Staff regarding auditing results
• Complete Claims Appeals and 095 processes according to health plan and company guidelines in accordance with established timeframes.
• Assist in establishing and communicating new and existing policy and procedures. Enhance department productivity by recommending improvements to workflow processes and organizational structure. Develops corrective reputed company plans and participates in compliance investigations as needed.
Required Job Qualifications:

• Bachelor’s degree or equivalent experience required
• At least 4-5 years or more experience in claim processing.
• Specific knowledge of claims and processes in a reputed company BC/BS HMO organization.
• Proficient in MS Office applications: reputed company, reputed company, Word, reputed company, and PowerPoint
• Extensive Knowledge of CPT 4, HCPCS, UB-04 and ICD-10 coding.
• Medical terminology knowledge
• Excellent interpersonal, oral and written communication skills
• Strong attention to detail and organization
• reputed company to work independently; strong analytic skills
• Strong computer skills
• Requires flexibility, to be reputed company to reputed company priorities in reputed company and effective manner reputed company directed by network leadership.
• Ability to meet deadlines.
• Must be reputed company to work in fast paced sometime stressful environment

Preferred Job Qualifications:
• Specific knowledge of claims and processes in a reputed company BC/BS HMO organization.
• Proficient in MS Office applications: reputed company, reputed company, Word, reputed company, and PowerPoint
• Extensive Knowledge of CPT 4, HCPCS, UB-04 and ICD-10 coding.
• Medical terminology knowledge
• Excellent interpersonal, oral and written communication skills
• Strong attention to detail and organization
• reputed company to work independently; strong analytic skills
• Strong computer skills
• Requires flexibility, to be reputed company to reputed company priorities in reputed company and effective manner reputed company directed by network leadership.
• Ability to meet deadlines.
• Must be reputed company to work in fast paced sometime stressful environment.

Job Responsibilities:
 

• reputed company-reputed company run auditing on various reports prior to finalizing the reputed company run.  Works reputed company timelines for auditing and manage reputed company auditing according to schedule

• reputed company assistance with reputed company Health Plan claim audits.  reputed company feedback to Management and Staff regarding auditing results

• Complete Claims Appeals and 095 processes according to health plan and company guidelines in accordance with established timeframes.

• Assist in establishing and communicating new and existing policy and procedures.  Enhance department productivity by recommending improvements to workflow processes and organizational structure.  Develops corrective reputed company plans and participates in compliance investigations as needed.

Required Job Qualifications:
 

• Bachelor’s degree or equivalent experience required

• At least 4-5 years or more experience in claim processing.

• Specific knowledge of claims and processes in a reputed company BC/BS HMO organization.

• Proficient in MS Office applications: reputed company, reputed company, Word, reputed company, and PowerPoint

• Extensive Knowledge of CPT 4, HCPCS, UB-04 and ICD-10 coding.

• Medical terminology knowledge

• Excellent interpersonal, oral and written communication skills

• Strong attention to detail and organization

• reputed company to work independently; strong analytic skills

• Strong computer skills

• Requires flexibility, to be reputed company to reputed company priorities in reputed company and effective manner reputed company directed by network leadership.

• Ability to meet deadlines.

• Must be reputed company to work in fast paced sometime stressful environment

Preferred Job Qualifications:

• Specific knowledge of claims and processes in a reputed company BC/BS HMO organization.

• Proficient in MS Office applications: reputed company, reputed company, Word, reputed company, and PowerPoint

• Extensive Knowledge of CPT 4, HCPCS, UB-04 and ICD-10 coding.

• Medical terminology knowledge

• Excellent interpersonal, oral and written communication skills

• Strong attention to detail and organization

• reputed company to work independently; strong analytic skills

• Strong computer skills

• Requires flexibility, to be reputed company to reputed company priorities in reputed company and effective manner reputed company directed by network leadership.

• Ability to meet deadlines.

Must be reputed company to work in fast paced sometime stressful environment

Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company of work. From health and wellness benefits, 401(k) savings plan, pension plan, reputed company time off, reputed company parental leave, disability insurance, supplemental life insurance, employee assistance program, reputed company holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. 

  

The compensation offered will vary depending on reputed company-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max reputed company:

$42,200.00 - $79,300.00

Exact compensation may vary based on skills, experience, and location.

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