- Cardinal Health (Richmond, VA)
- …before pay day with myFlexPay + Flexible spending accounts (FSAs) + Short- and long - term disability coverage + Work-Life resources + Paid parental leave ... of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations,...of large scope + Projects may have significant and long - term impact + Provides solutions which may… more
- Katmai (Portsmouth, VA)
- …Group Term Life & AD&D Insurance, Voluntary Life and AD&D Insurances, Voluntary Long - Term & Short- Term Disability Insurance, Dependent Spouse Life ... is discovered or requested by the referring provider. + Check applicable claims database(s), when CLRs are undocumented in-patient records and manage assigned CLRs… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... an impact** **Required Qualifications** + Minimum 2 years of **subrogation claims handling experience** in healthcare, property and casualty, or worker's… more
- CenterWell (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... Professional ensures contract compliance and performs analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities. Begins… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work from home or in… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... + 3 years of clinical RN Experience + Appeals nursing experience + Claims experience + Proficient with Microsoft Office products including Word, Excel and Outlook… more
- CenterWell (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... 2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie SQL,… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... improvement in provider satisfaction via education, communication and streamlining claims resolution. + Prior executive leadership experience in sales, finance,… more