- Evolent (Raleigh, NC)
- …to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries ... required to analyze system processing in detail + provide summary information to stakeholders...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Mass Markets (NC)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... completion of assigned projects, event/meeting planning, filing, mail handling, and processing of letters/correspondence + Organize meetings summits from start to… more
- Mass Markets (NC)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Identifying and resolving payment discrepancies during daily reconciliations. + Processing daily payment returns and keying payments efficiently. + Ensuring the… more
- National Power, LLC (Raleigh, NC)
- …and benefits for all employees. Duties will include assisting in the processing of bi-weekly and semi-monthly payroll, handling benefits enrollment and inquiries, ... Other duties may be assigned. + Assist in the processing of bi-weekly and semi-monthly payroll (hourly and salaried)...laws (FMLA, ADA, etc.). + Manage short-and long-term disability claims . + Ensure compliance with ERISA& Cafeteria Section 125,… more
- GAP Solutions Inc (Raleigh, NC)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Humana (Raleigh, NC)
- …to make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
- Ansible Government Solutions (Garner, NC)
- …the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- Humana (Raleigh, NC)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (Raleigh, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… 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 ... License required; must be able to be insured through company's vehicle insurance policy while driving work/government/rental vehicles during working hours, and for… more