- Molina Healthcare (Sioux City, IA)
- …utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such ... health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... For more information, visit transamerica.com . Job Description Summary The Senior Financial Analyst role serves as a business partner and financial steward for the… more
- Highmark Health (Des Moines, IA)
- …various complex potential claims with emphasis on controlling losses through effective managed care . This includes following a departmental claim checklist to ... ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Molina Healthcare (Iowa City, IA)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... Responsibilities + Research and report on routine business questions ( managed from stakeholder-aligned prioritization) including analysis of business workflows,… more
- Molina Healthcare (Sioux City, IA)
- …gaps. * Applies understanding of health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity ... **Required Qualifications** * At least 5 years of business analyst experience in a managed care...concept to execution, especially in the areas of provider reimbursement and claims payment integrity. * Strong working knowledge… more
- Access Dubuque (Dubuque, IA)
- …Essentials (SIE), and Series 6, 7, and 63. Northwestern Mutual provides pre-payment/ reimbursement * for course tuition fees and books. **Compensation & Benefits** + ... Company (NM) and its subsidiaries, including Northwestern Long Term Care Insurance Company (NLTC), **Northwestern Mutual Investment Services, LLC** **(NMIS)**… more
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