- Molina Healthcare (Columbus, OH)
- … adjudicate claims Requires knowledge of operational areas and systems . **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including ... with operational areas and provider billings and analyzing the systems . + This role is involved in member enrollment,...as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Kronos +… more
- NTT DATA North America (Columbus, OH)
- …independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per ... applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools + High school...Toggling back and forth between screens/can you navigate multiple systems . + Working knowledge of MS office products -… more
- Executive Office for US Attorneys and the Office of the US… (Columbus, OH)
- …life insurance; health benefits; and participation in the Federal Employees Retirement System . The Benefits link provides an overview of the benefits currently ... In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family… more
- Elevance Health (Mason, OH)
- …clients. + Understands the intricacies of prescription drug benefits and how they adjudicate . + Understands and interprets client requests for new benefit designs. + ... with minimal disruption. + Develops, reviews, and researches capabilities of pharmacy system to accommodate drug benefit design requested by clients or suggested by… more