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1. Makes a high volume of outbound telephone calls, imaging documents, and completing data entry. 2. Uses tools to research telephone numbers and addresses. 3. Applies Coordination of Benefit (COB) Rules and establishing Order of Benefits. 4. Opens and works files in home application. 5. Creates and updates tracking reports. 6. Gathers claim overpayment information from h
Posted Today
1. Makes a high volume of outbound telephone calls, imaging documents, and completing data entry. 2. Uses tools to research telephone numbers and addresses. 3. Applies Coordination of Benefit (COB) Rules and establishing Order of Benefits. 4. Opens and works files in home application. 5. Creates and updates tracking reports. 6. Gathers claim overpayment information from h
Posted Today
This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES 1. Achieve measured production, quality, an
Posted Today
MultiPlan
- Naperville, IL
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca
Posted Today
We are looking for a Senior Software Engineer to join our software development team. In this role, you collaborate with other developers and engineers to design applications and programs. Part of these responsibilities include writing and debugging code, so we are looking for applicants familiar with Java, JavaScript, HTML, CSS, and other common programming languages. You
Posted 3 days ago
Formulate and define specifications for somewhat complex operating software programming applications or modify/maintain complex existing applications. JOB ROLES AND RESPONSIBILITIES Research, construct, develop, and test computer application software or systems. Analyze users' needs and design software as necessary. Maintain computer applications software and systems and
Posted 3 days ago
JOB SUMMARY This role manages an arbitration case load including evaluation of provider disputes and appropriate client payment offers. The incumbent will coordinate efforts with the team and leadership to bring matters to efficient and successful outcomes. The incumbent's primary responsibility will be responding to oversee and manage the intake, processing and cooridina
Posted 3 days ago
As a Client Implementation Analyst, you will work closely with our clients through the initial implementation process as a Technical SME liaison between Client, Business and Development for New product implementation and production support. This includes the daily monitoring of Claims processing, post production analysis, level II troubleshooting issues. Your specific dut
Posted 3 days ago
MultiPlan
- Naperville, IL
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca
Posted 3 days ago
JOB SUMMARY The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties require an intermediate knowledge of the subrogation process. Responsibilities include sorting scanning incoming correspondence, data entry, and creating new Subrogation cases. Work must be performed on site in the Naperville off
Posted 3 days ago
Oversees and manages client and operational projects within the business unit from development through execution ensuring critical project milestones are delivered to meet the operating needs and strategic plan of the Out of Network department. Coordinates with a variety of cross functional teams, including but not limited to Operations, IT, ITPMA, and Account Management,
Posted 4 days ago
The primary function of this role is to coordinate and manage the operational tasks and deliverables for legal cases involving Out of Network products. The analyst will provide administrative support for a variety of legal cases, including claim research, organizing documentation, tracking status of cases, and producing reports. The analyst ensures timely, complete, and t
Posted 4 days ago
This position is responsible for developing new Qlik Sense dashboards and modification of existing dashboards as per changing business needs utilizing Qlik Sense best practices. JOB ROLES AND RESPONSIBILITIES End to end development of new dashboards and modification of existing dashboards, utilizing Qlik Sense Create new reports and modify existing reports using NPrinting
Posted 5 days ago
Position is responsible for performing specific tasks in support of Electronic Data Interchange (EDI) processes. This includes the daily monitoring of EDI file processing, the troubleshooting of issues impacting successful receipt or delivery of client files, the setup and testing of new trading partners, and general customer support of issues called in to the Service Des
Posted 5 days ago
The Multiplan Temp Associate, Service Support is a contingent (provisional/temporary) workforce position that is responsible for providing support for MultiPlan on a non permanent basis JOB ROLES AND RESPONSIBILITIES 1.Review provider contracts to identify documents for storage retention/shredding 2.Scan and catalog documents for shipment 3.The position responsibilities o
Posted 5 days ago
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