- AssistRx (Phoenix, AZ)
- …claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication , troubleshoot claim ... The Copay Support/ Claims Processing Specialist is a critical...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and… more
- CVS Health (Phoenix, AZ)
- …inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- US Army Corps of Engineers (Phoenix, AZ)
- …Information" section below for further details. Responsibilities Serves as a paralegal specialist in the Office of Counsel with responsibility for the investigation, ... analysis and evaluation of claims , protests, and other legal matters arising from various...in this document. Minimum Qualifications for the GS-11 Paralegal Specialist : Specialized Experience: One year of specialized experience which… more
- US Army Corps of Engineers (Phoenix, AZ)
- …be offered to highly qualified candidates. Responsibilities Serves as a paralegal specialist in the Office of Counsel with responsibility for the investigation, ... analysis and evaluation of claims , protests, and other legal matters arising from various...in this document. Minimum Qualifications for the GS-11 Paralegal Specialist : Specialized Experience: One year of specialized experience which… more
- Molina Healthcare (Phoenix, AZ)
- …Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Datavant (Phoenix, AZ)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more