- Walmart (Lumberton, NC)
- …requests Respond to internal and external customer calls related to orders claims damages billing issues etc by researching and resolving systemrelated issues ... down reports billing user access coding filing etc Systems OperationsData Processing Maintains operation of system hardware and software through monitoring… more
- Elevance Health (Durham, NC)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- IQVIA (Durham, NC)
- …device industry, or equivalent experience required + Experience in pharmacy operations/ claims processing or equivalent experience required + Experience managing ... by project needs: + Care Managers (responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations,… more
- UIC Government Services and the Bowhead Family of Companies (Stumpy Point, NC)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + Ability to ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- UIC Government Services and the Bowhead Family of Companies (Charlotte, NC)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Open Mind Health (NC)
- …other intervening issue that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also collaborate with client ... to prevent them. + Track no-show appointments on spreadsheet and respond to processing directions based on comments by clinical leadership. + Communicate with … more
- AIG (Charlotte, NC)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with the ... Who we are General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the… more
- UNC Health Care (Rocky Mount, NC)
- …The Patient Access Intake Specialist is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely ... driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not… more
- UNC Health Care (Rocky Mount, NC)
- …The Patient Access Intake Specialist is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely ... driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not… more
- AmeriHealth Caritas (Fayetteville, NC)
- …and scheduling appointments; + Perform research using the internet and processed claims to identify alternate phone numbers from providers, pharmacies, and other ... have working knowledge of policies, standard operating procedures, workflows, Members' insurance products and benefits, NCQA and regulatory requirements, along with… more