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Claims Examiner II at Smart Data Solutions LLC
Chennai, tamil nadu, India - Full Time
Skills Needed
Healthcare Claims Processing, Cms 1500, Ub 04, Ada Forms, Icd 10, Cpt, Hcpcs, Coordination Of Benefits, Claim Repricing, Demographic Updates, Medical Adjudication, Hipaa Compliance, Provider Record Management, Payment Methodologies, Claims Lifecycle Workflow, Audit Readiness
Specialization
Candidates must have a high school diploma and at least 2 years of experience in healthcare claims processing with knowledge of medical code sets. Proficiency with standard claim forms and the ability to work independently in a high-volume environment are required.
Experience Required
Minimum 2 year(s)
Quality Supervisor at Global Healing Solutions
Houston, Texas, United States - Full Time
Skills Needed
Quality Control, Cgmp Compliance, Capa, Microbiological Testing, Internal Auditing, Sop Development, 21 Cfr 111, Document Control, Team Leadership, Root Cause Analysis, Lean Six Sigma, Nutraceutical Standards, Quality Assurance, Regulatory Compliance, Personnel Training, Performance Reporting
Specialization
Candidates need at least 3 years of experience in a cGMP industrial environment with strong knowledge of 21 CFR 111 and lab testing methods. Experience with microbiological testing and document control processes is preferred.
Experience Required
Minimum 2 year(s)
Client Service Specialist - Novi, MI at Advisor Talent Solutions
Novi, Michigan, United States - Full Time
Skills Needed
Client Service, Financial Services, Account Maintenance, Relationship Building, Crm, Redtail, Administrative Support, Operational Support, Microsoft Office Suite, Communication, Organizational Skills, Time Management, Attention To Detail, Annuity Servicing, Data Entry
Specialization
Candidates must hold a bachelor's degree and possess strong organizational and communication skills. Preference is given to those with financial industry experience and relevant licenses such as the Series 65 and MI Insurance license.
Experience Required
Minimum 2 year(s)
High-Volume Recruiter (Virtual) - PRO Consultant at ALL Talent Solutions LTD
, , United States - Full Time
Skills Needed
High Volume Recruiting, Full Life Cycle Recruitment, Sourcing, Pipeline Building, Candidate Screening, Customer Service, Organizational Skills, Communication Skills, Talent Management, Digital Outreach
Specialization
Requires at least 2 years of high-volume recruiting experience, preferably in field tech, fiber, or manufacturing. A high school diploma is required, while an associate or bachelor's degree is preferred.
Experience Required
Minimum 2 year(s)
LPN Care Manager- Family Practice Experience Required at Primary Health Solutions
Hamilton, Ohio, United States - Full Time
Skills Needed
Care Management, Patient Education, Medication Reconciliation, Care Coordination, Clinical Quality Measures, Electronic Medical Record, Holistic Assessments, Disease Management, Patient Advocacy, Multidisciplinary Collaboration, Social Determinants Of Health, Documentation, Customer Service, Communication, Problem Solving, Organizational Skills
Specialization
Candidates must hold an active Ohio LPN license and possess a minimum of 3 years of professional medical experience. Proficiency in medication management and the ability to work within a person-centered medical home model are required.
Experience Required
Minimum 2 year(s)
Foster Care Case Manager at Caritas Family Solutions
Alton, Illinois, United States - Full Time
Skills Needed
Case Management, Trauma Informed Care, Database Management Software, Microsoft Outlook, Microsoft Word, Crisis Intervention, Client Documentation, Interdisciplinary Collaboration, Court Testimony, Resource Linkage
Specialization
Requires a Bachelor's degree in Social Work, Human Services, or a related field and a Child Welfare Employee License. Candidates must have a valid driver's license, reliable transportation, and a commitment to trauma-informed practices.
Experience Required
Minimum 2 year(s)
Community Connections Case Manager at Caritas Family Solutions
Highland, Illinois, United States - Full Time
Skills Needed
Trauma Informed Care, Case Management, Crisis Intervention, Community Resource Linkage, Child Safety Assessment, Outlook, Word, Database Management Software, Family Stability Support, Interdisciplinary Collaboration
Specialization
A Bachelor's degree in Social Work or a related human services field is required, along with a Child Welfare Employee License. Candidates must have a valid driver's license, reliable transportation, and a commitment to trauma-informed practices.
Service Advisor - Shelton, CT at Advisor Talent Solutions
Shelton, Connecticut, United States - Full Time
Skills Needed
Financial Planning, Investment Management, Tax Planning, Client Relationship Management, Wealth Management, Retirement Planning, Client Service, Communication Skills, Detail Oriented
Specialization
Requires experience in wealth management or financial planning with a strong understanding of investments and retirement planning. A CFP designation and Series licensing are preferred but not required.
Experience Required
Minimum 2 year(s)
Werkstudent Produktmanagement (m/w/d) at RRC power solutions GmbH
Homburg, Saarland, Germany - Full Time
Skills Needed
Data Analysis, Market Analysis, Salesforce, Microsoft Excel, Microsoft Office, Document Management, English, German
Specialization
Candidates must be enrolled in a degree program in business administration, industrial engineering, or electrical engineering. Proficiency in MS Office and professional fluency in both German and English are required.
Patient Services Representative - Express at Primary Health Solutions
Middletown, Ohio, United States - Full Time
Skills Needed
Patient Registration, Appointment Scheduling, Payment Processing, Insurance Verification, Medical Office Administration, Customer Service, Electronic Medical Records, Practice Management Systems, Microsoft Word, Cash Handling, Patient Communication, Office Operations
Specialization
Requires a high school diploma or equivalent and the ability to use practice management systems and Microsoft Word. Must possess strong communication skills and the physical ability to stand, walk, and lift up to 25 pounds.
Customer Experience Associate at Full Potential Solutions
, maharashtra, India - Full Time
Skills Needed
Business English Communication, Multi Tasking, Research Skills, Customer Service Orientation, Attention To Detail, Time Management, Critical Thinking, Decision Processing, Typing (35 Wpm), Business Writing, Web Tool Proficiency, Computer Navigation
Specialization
Requires a college degree or equivalent experience with strong English communication and technical skills. Candidates must be willing to work onsite in Pune on a shifting schedule including weekends.
Prior Authorization Supervisor at Shields Health Solutions
, , - Full Time
Skills Needed
Leadership, Pharmacy Management, Prior Authorization, Performance Management, Employee Development, Operational Management, Microsoft Excel, Microsoft Word, Emr Systems, Patient Support, Conflict Resolution, Project Management, Coaching, Data Manipulation, Interpersonal Communication, Time Management
Specialization
Requires a High School diploma and 3+ years of pharmacy technician experience, preferably in specialty pharmacy. Must be a registered and nationally certified CPhT with strong leadership and operational management skills.
Experience Required
Minimum 2 year(s)
Construction Manager at DAV Energy Solutions Inc
Martinez, California, United States - Full Time
Skills Needed
Construction Management, Quality Control, Quality Assurance, Schedule Management, Contract Compliance, Technical Writing, Communication Skills, Interpersonal Skills, Software Proficiency, Project Documentation, Rfi Management, Submittal Review, Field Observation, Data Center Construction, Healthcare Construction, Computer Literacy
Specialization
Candidates must have at least three years of relevant construction management experience and a working knowledge of commercial building operations. Strong computer literacy and the ability to perform site inspections in various physical conditions are required.
Experience Required
Minimum 2 year(s)
Data Analyst — NOT Remote (100% On-Site in Hamilton, OH) at Primary Health Solutions
Hamilton, Ohio, United States - Full Time
Skills Needed
Data Analysis, Sql, Sas, Tableau, Power Bi, Data Mining, Forecasting, Simulation, Predictive Modeling, Data Visualization, Healthcare Analytics, Report Development, Data Validation, Metric Definition, Strategic Planning, Communication
Specialization
Requires a Bachelor's degree in a quantitative or healthcare field and at least 4 years of experience in data analysis. Proficiency in data mining, predictive modeling, and visualization tools like Tableau or Power BI is essential.
Experience Required
Minimum 2 year(s)
ESP Warehouse Operator at Endurance Lift Solutions
Midland, Texas, United States - Full Time
Skills Needed
Warehouse Operations, Forklift Operation, Inventory Management, Shipping And Receiving, Order Picking, Packing, Quality Management Systems, Safety Compliance, Material Handling, Stock Transfers
Specialization
A high school diploma or GED is preferred, along with experience in warehouse operations and forklift usage. Candidates must be physically capable of lifting up to 70 pounds and working in a fast-paced environment.
Recruiter Eng (MP Engineering)-Canada at ALL Talent Solutions LTD
Montreal, Quebec, Canada - Full Time
Skills Needed
Full Desk Recruiting, Business Development, Direct Hire Recruitment, Candidate Sourcing, Client Relationship Management, Talent Pipelining, Interviewing, Sales Strategy, Market Analysis, Candidate Qualification
Specialization
Requires at least 2 years of recruiting or sales experience with a proven track record of meeting financial KPIs. A high school diploma is required, while an associate or bachelor's degree is preferred.
Experience Required
Minimum 2 year(s)
Patient Insurance Advocate- Tampa, Fl. at HealthFund Solutions LLC
Tampa, Florida, United States - Full Time
Skills Needed
Aca Marketplace Enrollment, Patient Assessment, Case Management, Bedside Screening, Outreach Calling, Emr/Ehr Documentation, Financial Eligibility Assessment, Medical Eligibility Assessment, Data Reporting, Customer Service
Specialization
A high school diploma is required, with 1-2 years of related experience and knowledge of ACA, Medicaid, and commercial insurance preferred. Candidates must be computer proficient, possess a valid driver's license, and pass medical clearance and background checks.
Installer at DaMar Staffing Solutions
Indianapolis, Indiana, United States - Full Time
Skills Needed
Fireplace Installation, Hand Tools, Power Tools, Gas Line Plumbing, Troubleshooting, Customer Service, Mechanical Inclination, Construction
Specialization
Must be at least 18 years old with a valid driver's license and a high school diploma or GED. Requires the ability to lift 50 pounds and experience using hand and power tools.
Experience Required
Minimum 2 year(s)
Patient Concierge Coordinator at Evexias Health Solutions
Southlake, Texas, United States - Full Time
Skills Needed
Customer Relations, Sales, Microsoft Office Suite, Patientnow, Analytical Skills, Written Communication, Verbal Communication, Multitasking, Patient Triage, Database Management, Process Improvement, Staff Mentoring
Specialization
A high school diploma is required, with a preference for experience in sales or customer relations. Proficiency in Microsoft Office is necessary, and the candidate must possess strong analytical and communication skills.
Patient Insurance Advocate- Wesley Chapel, Fl. at HealthFund Solutions LLC
Wesley Chapel, Florida, United States - Full Time
Skills Needed
Compassionate, Detail Oriented, Fast Paced Environment, Financial Assessment, Medical Eligibility, Enrollment Process, Case Issue Assistance, Bedside Screenings, Outreach Calls, Documentation, Aca Policies, Emr Systems, Computer Proficient, Insurance Knowledge, Medicaid Knowledge, Commercial Insurance Terms
Specialization
A high school diploma is required, with some college preferred, along with 1-2 years of related experience. Knowledge of ACA marketplace, Medicaid, and commercial insurance terms is preferred.
Claims Examiner II at Smart Data Solutions LLC
Chennai, tamil nadu, India -
Full Time

Start Date

Immediate

Expiry Date

30 Aug, 26

Salary

0.0

Posted On

01 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Healthcare Claims Processing, CMS-1500, UB-04, ADA Forms, ICD-10, CPT, HCPCS, Coordination Of Benefits, Claim Repricing, Demographic Updates, Medical Adjudication, HIPAA Compliance, Provider Record Management, Payment Methodologies, Claims Lifecycle Workflow, Audit Readiness

Industry

IT Services and IT Consulting

Description
Claims Examiner II Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Claims Examiner II, to join our team!   What you’ll be doing? Summary The Claims Examiner II is responsible for accurately reviewing, adjudicating, and resolving moderately complex medical, dental, and vision claims in accordance with client-specific policies, regulatory guidelines, and standard operating procedures. Depending on business needs, this role may also support claim repricing, provider and member demographic updates, and related claim administration tasks. The Claims Examiner II works independently and may assist with escalated issues or mentoring junior staff. Duties and Responsibilities: * Review, research, and adjudicate healthcare claims (professional, institutional, dental, vision) based on plan documents, contracts, and applicable regulations (e.g., CMS, HIPAA). * Process claims using standard claim forms (CMS-1500, UB-04, ADA) and appropriate coding systems (ICD-10, CPT, HCPCS, Modifiers). * Resolve system pends, edits, and denials through investigative research and documentation. * Apply proper payment methodologies including fee schedules, capitation, COB, and other reimbursement rules. * Update provider records to ensure accurate claims routing and payment * Process updates to member information in alignment with system rules and business requirements * Independently manage assigned claims to meet turnaround time and quality standards * Respond to inquiries or escalations, including shared email inboxes, within established SLAs. * Accurately document actions and resolutions in claim systems, ensuring transparency and audit readiness. * Collaborate with internal departments to resolve cross-functional claim issues. * Maintain updated knowledge of client-specific workflows, benefit plans, policies, and procedures. * Support process improvement activities, peer review tasks, and training efforts as needed. * Ensure compliance with data privacy standards and internal security protocols (HIPAA, etc.). * Participate in department meetings, calibration sessions, and continuing education. Qualifications * High school diploma or equivalent required * 2+ year(s) of experience in healthcare claims processing  * Experience with CMS-1500, UB-04 and ADA forms * Familiarity with claims lifecycle workflows and COB * Knowledge and experience with medical code sets ICD 10, HCPCS, CPT and modifiers * Experience in repricing or demographic updates * Strong attention to detail and accuracy * Effective written and verbal communication * Ability to prioritize work and meet deadlines in a high-volume environment * Comfortable working independently and adapting to process changes Preferred candidates possess: * 3+ year(s) of experience in health plan or TPA claims environment  * Knowledge of Medicare, Medicaid, or other government programs * Exposure to repricing tools or claim pricing methodologies Why this is the company for you? Top Benefits & Perks: * A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success! * A professional development and growth-oriented workplace * Work-life balance with a 5-day work week and leaves as per the Labor Law of India * A flexible environment with hybrid and remote work opportunity. Location: 6th Floor, Block 4A, Millenia Business Park, Phase II MGR Salai, Kandanchavadi, Perungudi, Chennai- 600096 Who is Smart Data Solutions?  Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations.  Smart Data Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. 4PM - 1 AM
Responsibilities
The Claims Examiner II is responsible for reviewing, adjudicating, and resolving moderately complex medical, dental, and vision claims. This includes managing system pends, updating provider and member demographics, and ensuring compliance with regulatory guidelines.
Claims Examiner II at Smart Data Solutions LLC
Chennai, tamil nadu, India - Full Time
Skills Needed
Healthcare Claims Processing, Cms 1500, Ub 04, Ada Forms, Icd 10, Cpt, Hcpcs, Coordination Of Benefits, Claim Repricing, Demographic Updates, Medical Adjudication, Hipaa Compliance, Provider Record Management, Payment Methodologies, Claims Lifecycle Workflow, Audit Readiness
Specialization
Candidates must have a high school diploma and at least 2 years of experience in healthcare claims processing with knowledge of medical code sets. Proficiency with standard claim forms and the ability to work independently in a high-volume environment are required.
Experience Required
Minimum 2 year(s)
Quality Supervisor at Global Healing Solutions
Houston, Texas, United States - Full Time
Skills Needed
Quality Control, Cgmp Compliance, Capa, Microbiological Testing, Internal Auditing, Sop Development, 21 Cfr 111, Document Control, Team Leadership, Root Cause Analysis, Lean Six Sigma, Nutraceutical Standards, Quality Assurance, Regulatory Compliance, Personnel Training, Performance Reporting
Specialization
Candidates need at least 3 years of experience in a cGMP industrial environment with strong knowledge of 21 CFR 111 and lab testing methods. Experience with microbiological testing and document control processes is preferred.
Experience Required
Minimum 2 year(s)
Client Service Specialist - Novi, MI at Advisor Talent Solutions
Novi, Michigan, United States - Full Time
Skills Needed
Client Service, Financial Services, Account Maintenance, Relationship Building, Crm, Redtail, Administrative Support, Operational Support, Microsoft Office Suite, Communication, Organizational Skills, Time Management, Attention To Detail, Annuity Servicing, Data Entry
Specialization
Candidates must hold a bachelor's degree and possess strong organizational and communication skills. Preference is given to those with financial industry experience and relevant licenses such as the Series 65 and MI Insurance license.
Experience Required
Minimum 2 year(s)
High-Volume Recruiter (Virtual) - PRO Consultant at ALL Talent Solutions LTD
, , United States - Full Time
Skills Needed
High Volume Recruiting, Full Life Cycle Recruitment, Sourcing, Pipeline Building, Candidate Screening, Customer Service, Organizational Skills, Communication Skills, Talent Management, Digital Outreach
Specialization
Requires at least 2 years of high-volume recruiting experience, preferably in field tech, fiber, or manufacturing. A high school diploma is required, while an associate or bachelor's degree is preferred.
Experience Required
Minimum 2 year(s)
LPN Care Manager- Family Practice Experience Required at Primary Health Solutions
Hamilton, Ohio, United States - Full Time
Skills Needed
Care Management, Patient Education, Medication Reconciliation, Care Coordination, Clinical Quality Measures, Electronic Medical Record, Holistic Assessments, Disease Management, Patient Advocacy, Multidisciplinary Collaboration, Social Determinants Of Health, Documentation, Customer Service, Communication, Problem Solving, Organizational Skills
Specialization
Candidates must hold an active Ohio LPN license and possess a minimum of 3 years of professional medical experience. Proficiency in medication management and the ability to work within a person-centered medical home model are required.
Experience Required
Minimum 2 year(s)
Foster Care Case Manager at Caritas Family Solutions
Alton, Illinois, United States - Full Time
Skills Needed
Case Management, Trauma Informed Care, Database Management Software, Microsoft Outlook, Microsoft Word, Crisis Intervention, Client Documentation, Interdisciplinary Collaboration, Court Testimony, Resource Linkage
Specialization
Requires a Bachelor's degree in Social Work, Human Services, or a related field and a Child Welfare Employee License. Candidates must have a valid driver's license, reliable transportation, and a commitment to trauma-informed practices.
Experience Required
Minimum 2 year(s)
Community Connections Case Manager at Caritas Family Solutions
Highland, Illinois, United States - Full Time
Skills Needed
Trauma Informed Care, Case Management, Crisis Intervention, Community Resource Linkage, Child Safety Assessment, Outlook, Word, Database Management Software, Family Stability Support, Interdisciplinary Collaboration
Specialization
A Bachelor's degree in Social Work or a related human services field is required, along with a Child Welfare Employee License. Candidates must have a valid driver's license, reliable transportation, and a commitment to trauma-informed practices.
Service Advisor - Shelton, CT at Advisor Talent Solutions
Shelton, Connecticut, United States - Full Time
Skills Needed
Financial Planning, Investment Management, Tax Planning, Client Relationship Management, Wealth Management, Retirement Planning, Client Service, Communication Skills, Detail Oriented
Specialization
Requires experience in wealth management or financial planning with a strong understanding of investments and retirement planning. A CFP designation and Series licensing are preferred but not required.
Experience Required
Minimum 2 year(s)
Werkstudent Produktmanagement (m/w/d) at RRC power solutions GmbH
Homburg, Saarland, Germany - Full Time
Skills Needed
Data Analysis, Market Analysis, Salesforce, Microsoft Excel, Microsoft Office, Document Management, English, German
Specialization
Candidates must be enrolled in a degree program in business administration, industrial engineering, or electrical engineering. Proficiency in MS Office and professional fluency in both German and English are required.
Patient Services Representative - Express at Primary Health Solutions
Middletown, Ohio, United States - Full Time
Skills Needed
Patient Registration, Appointment Scheduling, Payment Processing, Insurance Verification, Medical Office Administration, Customer Service, Electronic Medical Records, Practice Management Systems, Microsoft Word, Cash Handling, Patient Communication, Office Operations
Specialization
Requires a high school diploma or equivalent and the ability to use practice management systems and Microsoft Word. Must possess strong communication skills and the physical ability to stand, walk, and lift up to 25 pounds.
Customer Experience Associate at Full Potential Solutions
, maharashtra, India - Full Time
Skills Needed
Business English Communication, Multi Tasking, Research Skills, Customer Service Orientation, Attention To Detail, Time Management, Critical Thinking, Decision Processing, Typing (35 Wpm), Business Writing, Web Tool Proficiency, Computer Navigation
Specialization
Requires a college degree or equivalent experience with strong English communication and technical skills. Candidates must be willing to work onsite in Pune on a shifting schedule including weekends.
Prior Authorization Supervisor at Shields Health Solutions
, , - Full Time
Skills Needed
Leadership, Pharmacy Management, Prior Authorization, Performance Management, Employee Development, Operational Management, Microsoft Excel, Microsoft Word, Emr Systems, Patient Support, Conflict Resolution, Project Management, Coaching, Data Manipulation, Interpersonal Communication, Time Management
Specialization
Requires a High School diploma and 3+ years of pharmacy technician experience, preferably in specialty pharmacy. Must be a registered and nationally certified CPhT with strong leadership and operational management skills.
Experience Required
Minimum 2 year(s)
Construction Manager at DAV Energy Solutions Inc
Martinez, California, United States - Full Time
Skills Needed
Construction Management, Quality Control, Quality Assurance, Schedule Management, Contract Compliance, Technical Writing, Communication Skills, Interpersonal Skills, Software Proficiency, Project Documentation, Rfi Management, Submittal Review, Field Observation, Data Center Construction, Healthcare Construction, Computer Literacy
Specialization
Candidates must have at least three years of relevant construction management experience and a working knowledge of commercial building operations. Strong computer literacy and the ability to perform site inspections in various physical conditions are required.
Experience Required
Minimum 2 year(s)
Data Analyst — NOT Remote (100% On-Site in Hamilton, OH) at Primary Health Solutions
Hamilton, Ohio, United States - Full Time
Skills Needed
Data Analysis, Sql, Sas, Tableau, Power Bi, Data Mining, Forecasting, Simulation, Predictive Modeling, Data Visualization, Healthcare Analytics, Report Development, Data Validation, Metric Definition, Strategic Planning, Communication
Specialization
Requires a Bachelor's degree in a quantitative or healthcare field and at least 4 years of experience in data analysis. Proficiency in data mining, predictive modeling, and visualization tools like Tableau or Power BI is essential.
Experience Required
Minimum 2 year(s)
ESP Warehouse Operator at Endurance Lift Solutions
Midland, Texas, United States - Full Time
Skills Needed
Warehouse Operations, Forklift Operation, Inventory Management, Shipping And Receiving, Order Picking, Packing, Quality Management Systems, Safety Compliance, Material Handling, Stock Transfers
Specialization
A high school diploma or GED is preferred, along with experience in warehouse operations and forklift usage. Candidates must be physically capable of lifting up to 70 pounds and working in a fast-paced environment.
Recruiter Eng (MP Engineering)-Canada at ALL Talent Solutions LTD
Montreal, Quebec, Canada - Full Time
Skills Needed
Full Desk Recruiting, Business Development, Direct Hire Recruitment, Candidate Sourcing, Client Relationship Management, Talent Pipelining, Interviewing, Sales Strategy, Market Analysis, Candidate Qualification
Specialization
Requires at least 2 years of recruiting or sales experience with a proven track record of meeting financial KPIs. A high school diploma is required, while an associate or bachelor's degree is preferred.
Experience Required
Minimum 2 year(s)
Patient Insurance Advocate- Tampa, Fl. at HealthFund Solutions LLC
Tampa, Florida, United States - Full Time
Skills Needed
Aca Marketplace Enrollment, Patient Assessment, Case Management, Bedside Screening, Outreach Calling, Emr/Ehr Documentation, Financial Eligibility Assessment, Medical Eligibility Assessment, Data Reporting, Customer Service
Specialization
A high school diploma is required, with 1-2 years of related experience and knowledge of ACA, Medicaid, and commercial insurance preferred. Candidates must be computer proficient, possess a valid driver's license, and pass medical clearance and background checks.
Installer at DaMar Staffing Solutions
Indianapolis, Indiana, United States - Full Time
Skills Needed
Fireplace Installation, Hand Tools, Power Tools, Gas Line Plumbing, Troubleshooting, Customer Service, Mechanical Inclination, Construction
Specialization
Must be at least 18 years old with a valid driver's license and a high school diploma or GED. Requires the ability to lift 50 pounds and experience using hand and power tools.
Experience Required
Minimum 2 year(s)
Patient Concierge Coordinator at Evexias Health Solutions
Southlake, Texas, United States - Full Time
Skills Needed
Customer Relations, Sales, Microsoft Office Suite, Patientnow, Analytical Skills, Written Communication, Verbal Communication, Multitasking, Patient Triage, Database Management, Process Improvement, Staff Mentoring
Specialization
A high school diploma is required, with a preference for experience in sales or customer relations. Proficiency in Microsoft Office is necessary, and the candidate must possess strong analytical and communication skills.
Patient Insurance Advocate- Wesley Chapel, Fl. at HealthFund Solutions LLC
Wesley Chapel, Florida, United States - Full Time
Skills Needed
Compassionate, Detail Oriented, Fast Paced Environment, Financial Assessment, Medical Eligibility, Enrollment Process, Case Issue Assistance, Bedside Screenings, Outreach Calls, Documentation, Aca Policies, Emr Systems, Computer Proficient, Insurance Knowledge, Medicaid Knowledge, Commercial Insurance Terms
Specialization
A high school diploma is required, with some college preferred, along with 1-2 years of related experience. Knowledge of ACA marketplace, Medicaid, and commercial insurance terms is preferred.