- Prime Therapeutics (Des Moines, IA)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Avera (Sioux Center, IA)
- …electronically or on paper. + Works rejected claims , follow up on claims . + Prints claim forms for secondary companies and submits appropriate documentation ... **Location:** Sioux Center, IA ** Worker Type:** Regular **Work Shift:** Day Shift (United...or GED required, training or education in Medical Terminology preferred . Secretarial experience preferred but not required,… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- …the support for all leave of absence cases and workers' compensation claims . Effectively coordinates all cases/ claims to include general administration, ... the Incident reporting system with daily review of new claims and processing the claims to 3rd...date of the incident. + Audits and approves monthly worker 's compensation and billing for payment. + Coordinates with… more
- Access Dubuque (Dubuque, IA)
- …Coverage, Dental Insurance, etc. Responsibilities: + Apply insurance payments to open claims for each payment received and balance individual batches. + Manage work ... limited to past due, at risk, technical denial, age trial balance, and suspended claims report. + Research open claims activity, audit accounts, and issue… more
- Trinity Health (Clive, IA)
- …with external entities as needed + Perform all insurance benefit investigation, review claim rejects, overrides, etc. + Work with patients to find financial aid ... Etc.) + Alternative medical licensure may also be considered, (ie, social worker , etc.) + Knowledge of health benefit investigations, prior authorization support,… more
- Hy-Vee Food Stores (Sheldon, IA)
- …containers. + Prepares prescriptions to be mailed. + Prepares and submits insurance claims . + Files prescriptions after they have been dispensed. + Reports any ... job related duties and special projects as required. Knowledge, Skills, Abilities and Worker Characteristics: + Must have the ability to do logical or scientific… more
- Hy-Vee Food Stores (Coralville, IA)
- …containers. Prepares prescriptions to be mailed. Prepares and submits insurance claims . Files prescriptions after they have been dispensed. Reports any medication ... Previous experience as a pharmacy technician or pharmacy clerk is preferred . If applicable, vaccination certification as required by law. Physical Requirements:… more
- Avera (Des Moines, IA)
- **Location:** Avera Health Plans ** Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position is ... to enhance underwriting processes and implement best practices. + Analyze claims experience and trends to inform underwriting decisions and contribute to… more
- Avera (Des Moines, IA)
- **Location:** Avera Health Plans ** Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position is ... adherence to best practice and regulatory mandates relative to provider networks, claims outcomes and medical expense, integrating them into Network Services and… more