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HMO



HMO JOBS - Page 1


1 HMO Claims Examiner Redlands, CA, USA The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group ...... Apply Now>>

2 HMO/Medicaid Follow Up Representative West Covina, CA, USA Strong preference for applicants familiar with HMO, private insurance and/or Medi-Cal. * Excellent phone etiquette/customer service skills * Exceptional ability to professionally communicate with ...... Apply Now>>

3 Medicare and HMO Medical Supplies Biller New York, NY, USA Experience with HMO billing is a plus. Please reply only if you have at least 2 years Experience with Medicare and HMO Medical Billing for DMEPOS supplies. MBS Ltd provides Enteral, Colostomy ...... Apply Now>>

4 HMO Insurance Department Biller / Collector. Full Time West LA Los Angeles, CA, USA Reputable healthcare company in Southern California is looking for an Insurance Department Biller/ Collector who will be responsible for Collections on EOB's and Private Health Insurances to improve ...... Apply Now>>

5 VP Health Management Organization Mountlake Terrace, WA, USA As the Vice President of Company's Health Maintenance Organization (HMO) you will be responsible for establishing, driving, and executing on Company's strategy for the market entry of its new HMO ...... Apply Now>>

6 Medical Biller Los Angeles, CA, USA Bill visits for Medicaid, HMO, Medicare, and Dental billing. 100% accuracy will be required in the entering of patient information into the system, during the duration of this assignment The ...... Apply Now>>

7 Dental Hygienist ( 63rd St ) Chicago, IL, USA BCBS HMO, PPO and PPO Select Plans HMO premium = $27/month BCBS Dental premium = $7.50/month EyeMed Vision premium = $3.26/month 401k program with up to 5% employer match after 90 days = $1,700 ...... Apply Now>>

8 Patient Services Representative Elmhurst, IL, USA BCBS HMO, PPO and PPO Select Plans HMO premium = $27/month BCBS Dental premium = $7.50/month EyeMed Vision premium = $3.26/month * 401k program with up to 5% employer match after 90 days = $1,700... Apply Now>>

9 RN Reviewer, Managed Care Referrals Sansum Clinic - Santa Barbara, CA Santa Barbara, CA, USA Provides direction to MCR Coordinators in adherence with HMO eligibility, benefits, Managed Care Referrals Department policy/ procedure as well as HMO rules and guidelines. * Works in collaboration ...... Apply Now>>

10 Billing Clerk 2 Clayton, GA, USA ... HMO/PPO, Medicare , Medicaid , and other payer requirements and systems, familiarity with CPT and ICD\-10 Coding, effective communication abilities for phone contacts with insurance payers to resolve ...... Apply Now>>

11 Primary Care Opportunities near Tampa & Orlando, FL!! Tampa, FL, USA They PREFER candidates with experience in HMO but open to training. Must want to be in the area. Client looking for long term physicians Per client it's a "great family town and good school district ...... Apply Now>>

12 Tree Care Branch Manager Azusa, CA, USA Tree Certifications from ISA or the TCI Benifits Cigna Medical - (2) HMO and (1) PPO plan options - HMO Plan One, is no cost to the employee Dental, HMO & PPO Options Vision Life Insurance 401(k) ...... Apply Now>>

13 Physician / Family Practice / California / Any / Family Medicine - Family Medicine Opportunity in... Los Angeles, CA, USA Benefits: - Kaiser HMO- Dental HMO/PPO- Vision- Life Insurance- FSA- Paid Holidays and Sick Time- PTO - 403b with 2% Match * Additional Info: Our ideal candidate will:- Have prior experience with ...... Apply Now>>

14 Talent Acquisition Specialist III Chicago, IL, USA BCBS HMO, PPO and PPO Select Plans * HMO premium = $27/month * BCBS Dental premium = $7.50/month * EyeMed Vision premium = $3.26/month * 401k program with up to 5% employer match after 90 days... Apply Now>>

15 Biller , Collector Los Angeles, CA, USA We are looking for an Experienced Full Time HMO Department Manager who will lead the HMO Billing and Collection Team and be responsible for HMO Collections to improve company revenue. Position will ...... Apply Now>>

16 Dental Assistant, DA ,Back office Los Angeles, CA, USA DENTAL ASSISTANT (Recent Grad or EXPERIENCED RDA back office assistant , w/ reputable references Private Small Quality dental office (NO HMO NO MEDICAL ) needs dental assistant with experience are ...... Apply Now>>

17 MD / Pediatrics Job in Wytheville, Virginia / Permanent Wytheville, VA, USA Hospital Total Medicare/HMO/Exempt 47.57 % Anthem/Blue Cross 27.87% Medicaid/HMO 12.10% Self-Pay 5.72% Workers Comp 0.68% Commercial 2.05% Other(HMO/PPO/Champus) 3.84% Federal/State 0.16% Offering... Apply Now>>

18 Assembly Technician (Electro-Mechanical) Fontana, CA, USA HMO and PPO options - Dental: HMO & Dental PPO In-Network - Vision Plan - Company-Paid Life Insurance - Matching 401(k) - Profit Sharing/Growth Bonuses - Safety Award Program - Employee Assistance ...... Apply Now>>

19 Claims Examiner I Mission Hills, CA, USA Analyze and process commercial member claims based on federally and non-Federally- qualified HMO turnaround time guidelines * Review services for appropriateness of charges and medical necessity and ...... Apply Now>>

20 Consult- Liaison Psychiatrist/Psychiatric NP Chicago, IL, USA HMO premium = $27/month * BCBS Dental premium = $7.50/month * EyeMed Vision premium = $3.26/month * 401k program with up to 5% employer match after 90 days = $1,700+ * Employer-paid basic life ...... Apply Now>>

21 Medical Biller Mountain View, CA, USA Knowledge of eligibility, benefits & billing with various HMO and PPO insurance companies, especially local HMO plans. * Experience with insurance verification and collecting payments * Experience ...... Apply Now>>

22 Medical Biller Scottsdale, AZ, USA ... HMO/PPO · Transfer insurance claims and billing data to billing software · Create both paper and electronic copies of documentation · Develop and maintain a tracking system of incoming and late ...... Apply Now>>

23 Director of Case Management - LVN Long Beach, CA, USA Communicates with the HMO case managers and gives updates on patients' progress in the skilled services provided.Chart observations - Ensure they are done properly and accurately.Other data review ...... Apply Now>>

24 General Dentist Associate Downey, CA, USA HMO experience * Spanish Speaker * 3+ years of experience... Apply Now>>

25 Pediatric Dentist Waldorf, MD, USA No HMO, DMO, Capitation or Medicaid * Great location. Just 22 miles from Alexandria and 17 miles off the Beltway. Fantastic community. Up and coming * Top schools, Great quality of life * Excellent ...... Apply Now>>

26 Billing Specialist Springfield, MA, USA Duties include: • Review and bill out HMO/Insurance and Medicaid claims monthly. • Work with families, attorney's and Masshealth to get residents approved for Medicaid. • Investigate, resolve ...... Apply Now>>

27 Sr. Maintenance Technician (Manufacturing) Fontana, CA, USA HMO and PPO options - Dental: HMO & Dental PPO In-Network - Vision Plan - Company-Paid Life Insurance - Matching 401(k) - Profit Sharing/Growth Bonuses - Safety Award Program - Employee Assistance ...... Apply Now>>

28 Centering Facilitator/Case Management Assistant - Bilingual Saint Louis, MO, USA Follows up with HMO's on prior authorization requests and insurance company notifications, as well as tracks the HMO's requests for the organization. Reviews and rectifies missing Global ...... Apply Now>>

29 Bilingual Call Center Representative Orange, CA, USA You will be responsible for providing customers with information regarding Medicare, Medical, and HMO programs. You will undergo a two week paid training course before hand. Pays 19.71/hr Hours... Apply Now>>

30 FAMILY PRACTICE AND INTERNAL MEDICINE OPTIONS - NEAR TAMPA & ORLANDO, FLORIDA!! Orlando, FL, USA Client has Need for Family Practice, Internal Medicine and Geri docs in Lakeland and Winter Haven, FL Located between Tampa and Orlando Practice is mostly Medicare, HMO. Must want to be in the area... Apply Now>>

31 Reimbursement Specialist San Marcos, CA, USA Responsible for the collection of outstanding balances from all Commercial, HMO, PPO and Managed Care payers. Responsible for identifying follow up problems and issues. Check status of claims by ...... Apply Now>>

32 Ops Registered Nurse - 64855876 Melbourne, FL, USA Monthly employee premium for the standard PPO/HMO: Single coverage is $50 Family coverage is $180 Monthly employee premium for the High Deductible Health Plan PPO/HMO: Single coverage is $15 Family ...... Apply Now>>

33 MDS Coordinator New York, NY, USA Will complete assessments for those residents admitted under Part A, HMO etc that require 5 day, 14 day books. Ensures that all sections of MDS are completed in a timely manner. Provides staff with ...... Apply Now>>

34 Payment Technician Los Angeles, CA, USA Medical, Dental & Vision Kaiser HMO Medical Plan (Pathways will pay 90% of employee) Non-Kaiser Options you can also choose a Blue Shield HMO or UnitedHealthCare HMO or PPO PPO Dental Plan (Pathways ...... Apply Now>>

35 Institutional Claims Examiner Redlands, CA, USA The Institutional Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility ...... Apply Now>>

36 LVN Utilization Review (NO UR Experience Required) Pearland, TX, USA HMO, PPO and POS insurance knowledge. B. WORKING ENVIRONMENT Office... Apply Now>>

37 Senior Mechanical Engineer- Medical Device Union City, CA, USA Full Medical, Vision, and Dental (PPO and HMO) * 401k matching * FSA, Pet Insurance, Life Insurance, AD&D Insurance * PTO and all major holidays * 529 College Savings Plan * Discounts at partnered ...... Apply Now>>

38 Medical Insurance Verifier Lafayette, LA, USA Will be printing/mailing the necessary forms required to file TX MCD/TX MCD HMO as secondary to primary insurances * TX MCD verification * Performing status checks on past due claims * Must be very ...... Apply Now>>

39 Resolutions Specialist - Medicare Reno, NV, USA Experience with Medicare Advantage, HMO, PPO, and self-funded products Experience with STAR ratings, care cap reports and risk scores High school diploma or equivalent. Associates degree or ...... Apply Now>>

40 Production Manager Des Plaines, IL, USA CIGNA Dental PPO and HMO * Company paid VSP vision, basic life, and AD&D insurance * Paid time off and holidays * Additional voluntary life insurance and long-term disability available * 401k with 2% ...... Apply Now>>



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