Talent.com
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsSanta Clara, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.

Key Responsibilities :

Develop, configure, and maintain healthcare plan designs and benefit configurations

Ensure plan configurations support auto adjudication and comply with regulations

Perform testing of plan configurations to ensure accurate claims adjudication

Required Qualifications :

Associate's degree in healthcare administration, information systems, or a related field

Minimum of 2 years of experience in plan building and system configuration in healthcare

Strong knowledge of healthcare policies and compliance requirements

Proficiency in healthcare management systems and software

Experience with auto adjudication systems and technologies preferred

serp_jobs.job_alerts.create_a_job

Configuration Specialist • Santa Clara, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsSan Jose, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
CPC Certified Medical Coder

CPC Certified Medical Coder

VirtualVocationsFremont, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Coder I.Key Responsibilities Manage multiple coding related projects ensuring compliance with standards and timely deliverables Stay updated on coding guidelin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Coding Specialist

Certified Coding Specialist

VirtualVocationsSan Jose, California, United States
serp_jobs.job_card.full_time
A company is looking for an IP Coding Specialist.Key Responsibilities Assigns ICD-10-CM and PCS codes for inpatient visits and EM levels and surgical CPT codes for physician visits Validates MS-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HCS-D Certified Coding Specialist

HCS-D Certified Coding Specialist

VirtualVocationsOakland, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Specialist (HCS-D Certification Required).Key Responsibilities Conducts thorough reviews of medical records to assign appropriate ICD codes Adheres to coding gu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Records Coordinator

Medical Records Coordinator

VirtualVocationsSanta Clara, California, United States
serp_jobs.job_card.full_time
A company is looking for a PEND Management Coordinator to manage PEND inventory and coordinate medical records requests.Key Responsibilities Manage outbound and inbound calling campaigns related ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Inpatient Coder

Certified Inpatient Coder

VirtualVocationsSan Francisco, California, United States
serp_jobs.job_card.full_time
A company is looking for an Inpatient Facility / HIMS Certified Medical Coder, Quality Associate.Key Responsibilities Provide guidance on coding and billing, ensuring compliance with guidelines Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Healthcare Analyst

Senior Healthcare Analyst

San Francisco Health PlanSan Francisco, CA, United States
serp_jobs.job_card.full_time
Reporting to the Manager, Business Analytics, the Senior Healthcare Analyst will transform data into applicable insights that drive process improvement, financial sustainability, and inform organiz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsHayward, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Quality Auditor, HEDIS.Key Responsibilities Conduct clinical quality audits and identify issues for quality improvement within the HEDIS project Collect and org...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsHayward, California, United States
serp_jobs.job_card.full_time
A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Coding Auditor

Certified Medical Coding Auditor

VirtualVocationsSan Francisco, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Coding Auditor-Inpatient.Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services Monitor compliance with fe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsSan Jose, California, United States
serp_jobs.job_card.full_time
A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.Key Responsibilities : Develop, configure, and maintain healthcare plan designs and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Clinical Administrative Coordinator

Clinical Administrative Coordinator

VirtualVocationsOakland, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Administrative Coordinator - Remote in Texas.Key Responsibilities Ensure adherence to state contracts, CMS requirements, and submission timelines for reports a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Inpatient Coding Coordinator

Inpatient Coding Coordinator

VirtualVocationsSanta Clara, California, United States
serp_jobs.job_card.full_time
A company is looking for an Inpatient Corporate Coding Coordinator.Key Responsibilities Performs second level coder reviews on accounts and provides education on correct coding Assists the codin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Epic Patient Experience Analyst

Senior Epic Patient Experience Analyst

TEKsystemsOakland, CA, United States
serp_jobs.job_card.full_time
Must travel onsite once a month •.Must have certifications in Welcome, MyChart, Hello World or Cheers •.Epic Patient Experience Analyst to lead and optimize our digital patient engagement and contact...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsSan Francisco, California, United States
serp_jobs.job_card.full_time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
CPC Certified Multispecialty Coder

CPC Certified Multispecialty Coder

VirtualVocationsSanta Clara, California, United States
serp_jobs.job_card.part_time
A company is looking for a Part-time Multispecialty Coder - Physician.Key Responsibilities Code E / M for multispecialty physician outpatient and inpatient charges Code office-based procedures whe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Certified Medical Coder

Certified Medical Coder

VirtualVocationsOakland, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Biller and Coder.Key Responsibilities Review and accurately assign CPT, ICD-10, and HCPCS codes for office and telemedicine encounters Collaborate with provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Coder II

Certified Coder II

VirtualVocationsSanta Clara, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coder II.Key Responsibilities Document, assign, CPT, ICD-9 / 10, and HCPCS codes into the appropriate billing systems Review and resolve coding denials while adhering to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsHayward, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Coder III with Cardiology experience.Key Responsibilities Review and submit 64 encounters per day related to various cardiology services Maintain coding knowle...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Medical Records Specialist

Medical Records Specialist

VirtualVocationsHayward, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Records Specialist.Key Responsibilities Coordinate and oversee the collection and administration of medical records from healthcare providers Create thorough c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30