- TEKsystems (West Des Moines, IA)
- …accurately transmitted daily and all appropriate documentation is sent when required + Verify eligibility and claims status on unpaid claims + Provide timely ... is supporting the automation within the business office. Prior experience within Medicaid is required. Description The Insurance Billing and Follow Up Specialist… more
- Molina Healthcare (Iowa City, IA)
- …of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to… more
- Cognizant (Des Moines, IA)
- **Facets Dental Configuration Specialist ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 67014021** **About the role** As a Technical Analyst - ... decisions and downstream impacts. + **Apply comprehensive knowledge of Medicaid , Medicare, and commercial business rules across configuration activities** .… more
- Cognizant (Des Moines, IA)
- … claims from various payer products, including HMO, PPO, Medicaid , Medicare, and Workers' Compensation. + Articulating contract provisions to representatives ... **Revenue Recovery Specialist (remote)** This is a remote position open...the following benefits for this position, subject to applicable eligibility requirements: * Medical/Dental/Vision/Life Insurance * Paid holidays plus… more
- Prime Therapeutics (Des Moines, IA)
- …client issues. This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert ... in peak season planning and execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing...required + 2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be… more
- Trinity Health (Des Moines, IA)
- …allergies, insurance information); obtain benefit information, verify patient insurance eligibility and level of coverage; understand Medicare/ Medicaid ... _referral process and patient_ _care_ _management.._ _Act as an insurance specialist by expediting the prescription filling process (entering patient demographics,… more
- Trinity Health (Waterloo, IA)
- …allergies, insurance information); obtain benefit information, verify patient insurance eligibility and level of coverage; understand Medicare/ Medicaid ... referral process and patient care management.._ _Act as an insurance specialist by expediting the prescription filling process (entering patient demographics,… more