- Katmai (Portsmouth, VA)
- …and make required updates to ensure booking to proper Primary Care Manager (PCM). + Contact patients to schedule, reschedule, and/or cancel appointments. Promote ... 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
- Highmark Health (Richmond, VA)
- …maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- City of Norfolk, Virginia (Norfolk, VA)
- …eminent domain/condemnation, government contract compliance, construction contracts and claims , procurement, grant compliance issues, and general business matters, ... and sick leave, employer paid pension plan, basic life insurance , voluntary participation in medical and dental, Section 457...for which you have applied to assist the hiring manager in screening applications for specific experience being sought.… more
- Elevance Health (Norfolk, VA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... Experiences:** + Medical terminology training and experience in medical or insurance field preferred. + Behavioral health medical terminology strongly preferred. +… more
- Cisco (Herndon, VA)
- …communication, tackling multiple global initiatives. **Your Impact** As the Program Manager , you will be instrumental in building and articulating a Distribution ... cross-functional teams regarding program adherence + Review exceptions and holds on claims submitted by Distributors + Monitor the payment process for the Program… more
- Elevance Health (Richmond, VA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. **Minimum Requirements:** Requires a BA/BS...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Norfolk, VA)
- …experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Richmond, VA)
- …forecast business metrics. Measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Norfolk, VA)
- …LCD; Medicare Benefit Policy and MCG is strongly preferred. + Experience reviewing claims and researching CPT codes or ICD-9/10 codes is strongly preferred. + ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Richmond, VA)
- …troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more