Company · 288 open roles
Careers at Ourhrconnect
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288 positions at Ourhrconnect
Specialist, Appeals
Ourhrconnect·Florence or Columbia
Specialist, Appeals at Ourhrconnect. Location: Florence or Columbia. Role: performing reviews, processing letters, preparing reports Requirements: High school diploma, 2 years related experience, proficiency with Microsoft Office, strong written/verbal communication and organizat…
Claims Processor I
Ourhrconnect·Florence, South Carolina, United States
Claims Processor I at Ourhrconnect. Location: Florence, South Carolina, United States. Role: processing claims, researching claims, resolving edits Requirements: High school diploma, strong analytical, organizational and communication skills, basic business math, proficiency with…
Senior Systems Programmer Analyst
Ourhrconnect·Columbia, South Carolina, United States
Senior Systems Programmer Analyst at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: diagnosing problems, designing systems, providing recovery Requirements: Bachelor's degree or equivalent and 8+ years IT systems programming experience; deep mainframe/CICS…
Claims Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina
Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description Logistics: PGBA – is a subsidiary company of …
Claims Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina, United States
Claims Customer Service Advocate II at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: responding correspondence, processing claims, documenting inquiries Requirements: 1 year claims/appeals processing or customer service experience, high school diploma or …
Claims Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina, United States
Claims Customer Service Advocate II at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: responding inquiries, processing claims, documenting inquiries Requirements: High school diploma or equivalent, 1 year claims/appeals or customer service experience (or b…
Medical Assistant
Ourhrconnect·Columbia, South Carolina, United States
Medical Assistant at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: providing coaching, developing programs, documenting information Requirements: Associates-level medical assistant with 3+ years clinical experience, certified MA credential required, profi…
Sr Stoploss Claim Auditor-2
Ourhrconnect·Jacksonville, Florida, United States
Sr Stoploss Claim Auditor-2 at Ourhrconnect. Location: Jacksonville, Florida, United States. Role: analyzing claims, authorizing reimbursements, communicating carriers Requirements: Associate's degree (or 2 years related experience),6 years managed care or reinsurance claims expe…
Benefit Files Analyst I
Ourhrconnect·Columbia, South Carolina, United States
Benefit Files Analyst I at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: interpreting plans, programming benefits, coordinating testing Requirements: Associate's degree or 2 years related experience; 2 years systems/claims/analysis experience; working kno…
Case Management Coordinator (Social Worker)
Ourhrconnect·South Carolina, United States
Case Management Coordinator (Social Worker) at Ourhrconnect. Location: South Carolina, United States. Role: providing care, coordinating care, evaluating outcomes Requirements: Associates required; active unrestricted RN or state licensure as social worker/counselor/psychologist …
Medicare Cost Reporting Auditor II
Ourhrconnect·Columbia, South Carolina
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description This position is a fully remote position working …
Accounting Technician II (Medicare Enrollment)
Ourhrconnect·Columbia, South Carolina, United States
Accounting Technician II (Medicare Enrollment) at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: preparing data, balancing accounts, researching errors Requirements: Associate's in job-related field (or 2 years equivalent), 2 years related work experience …
Analyst, Business Test I
Ourhrconnect·Columbia, South Carolina, United States
Analyst, Business Test I at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: coordinating testing, executing tests, researching issues Requirements: High school diploma, 2 years related processing/support experience, knowledge of Microsoft Office; test case …
Accountant IV
Ourhrconnect·Columbia, South Carolina
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We …
Auditor III
Ourhrconnect·Alabama, United States
Auditor III at Ourhrconnect. Location: Alabama, United States. Role: conducting audits, drafting recommendations, preparing reports Requirements: Bachelor's degree, 5 years auditing experience, knowledge of auditing principles, strong analytical and communication skills, Microsof…
Medicare Cost Report Auditor III
Ourhrconnect·United States or Florida or Georgia or Vermont or South Carolina or North Carolina or Utah or Texas or Washington or Idaho or Virginia or Ohio or Wyoming or Oklahoma or Wisconsin or Oregon or Illinois or Arkansas or Colorado or Connecticut or Pennsylvania or Delaware or Alabama or Arizona or Kentucky or Maine or Maryland or Indiana or Minnesota or Iowa or Michigan or Kansas or Massachusetts or Mississippi or Missouri or Montana or Nevada or Nebraska or Louisiana or New Jersey or New Hampshire or
Medicare Cost Report Auditor III at Ourhrconnect. Location: United States or Florida or Georgia or Vermont or South Carolina or North Carolina or Utah or Texas or Washington or Idaho or Virginia or Ohio or Wyoming or Oklahoma or Wisconsin or Oregon or Illinois or Arkansas or Colo…
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Ourhrconnect·Nashville, Tennessee, United States
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) at Ourhrconnect. Location: Nashville, Tennessee, United States. Role: managing reviews, training staff, improving processes Requirements: Bachelor's degree required; 5 years clinical and utilization rev…
RN Appeals Analyst Medicare Part B - CGS
Ourhrconnect·Nashville or South Carolina
RN Appeals Analyst Medicare Part B - CGS at Ourhrconnect. Location: Nashville or South Carolina. Role: researching appeals, documenting decisions, performing reviews Requirements: Active unrestricted US RN license, associate degree or nursing school graduate, 2–3+ years clinical …
Accounting Technician II
Ourhrconnect·Columbia, South Carolina, United States
Accounting Technician II at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: prepare data, reconcile accounts, process disbursements Requirements: Performs clerical/accounting functions such as disbursements, deposits, journal entries, and reconciliations; r…
RN Case Management Coordinator
Ourhrconnect·South Carolina, United States
RN Case Management Coordinator at Ourhrconnect. Location: South Carolina, United States. Role: Coordinate care, Assess needs, Monitor services Requirements: RN license; 4 years clinical or utilization review/case management; Associates degree; strong communication; MS Office. Cat…
Auditor I
Ourhrconnect·Springfield, Illinois, United States
Auditor I at Ourhrconnect. Location: Springfield, Illinois, United States. Role: conduct audits, develop reports, review findings Requirements: Responsible for assisting in audits, evaluating internal controls; no prior experience required; bachelor’s in a related field; CIA/CPA/…
Auditor I
Ourhrconnect·Springfield, Illinois, United States
Auditor I at Ourhrconnect. Location: Springfield, Illinois, United States. Role: conducts audits, develops reports, assists auditors Requirements: Bachelor's in a related field; no prior experience required; auditing knowledge; Microsoft Office; CIA/CPA/CISA preferred. Category: …
Auditor I
Ourhrconnect·Springfield, Illinois, United States
Auditor I at Ourhrconnect. Location: Springfield, Illinois, United States. Role: auditing financial, developing reports, conducting audits Requirements: Bachelor's in a related field; no prior experience required; auditing knowledge; MS Office; CIA/CPA/CISA preferred. Category: F…
Accountant II
Ourhrconnect·Columbia, South Carolina, United States
Accountant II at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: reconciling accounts, preparing reports, assisting audits Requirements: Bachelor's in accounting; 2 years accounting experience; knowledge of accounting concepts; proficient in Microsoft Offic…