Claims processing lansing jobs in New Haven - Randstad jobs 21 -24 of 24 (0.001s)

Appeals and provider dispute specialist

IrvingRandstad

...transferred from CenPAS. Evaluate claims and medical records against medical necessity guidelines, CPT/ICD-10 coding standards, and Medicaid benefit coverage. Resolve disputed claims within the AMISYS system, accurately calculating reimbursements or finalizing denials based on independent analysis. Modify [...]

Category Education, Training, & Library

25 days ago in Randstad

Data engineer (healthcare/claims, snowflake, sql, etl, adf, data modelling)

HopkinsRandstad

...Recent experience with medical claims processing systems, including familiarity with core functionalities, workflows, and data structures used in healthcare claims management. Data science and analytics experience. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, [...]

Category Engineering & Architecture

25 days ago in Randstad

Insurance management specialist

RichmondRandstad

...programs, subcontractor compliance, and claims coordination across complex commercial projects. This position is ideal for someone who thrives in a detail-driven environment, enjoys working with structured reporting and insurance documentation, and wants to be part of a collaborative team that keeps high-value projects running [...]

Category Banking, Insurance, Finance & Accountancy

26 days ago in Randstad

Claims auditor

WhittierRandstad

POSITION SUMMARYThe Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical [...]