- The Cigna Group (Raleigh, NC)
- …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... provisions to determine most effective response. Mail or route claim forms and supporting documentation to various units for...multitask independently and on a computer. + Knowledge of Medical Terminology a PLUS. + Excellent written and oral… more
- CVS Health (Raleigh, NC)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and the ... with a passion for healthcare economics? Join our team as a **Manager, Medical Economics** and play a pivotal role in shaping cost-effective healthcare strategies.… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …countries and regions. **Summary:** The **Tier 1 Technical Support Specialist (TSS) for Medical Devices in the field of IVD** at the Grifols DxCTS (Diagnostic ... Response Team. + Monitors regulatory compliance for customer testing and potential claims . + Continued development with ongoing training to enhance communication and… more
- CVS Health (High Point, NC)
- …while avoiding over-committing. + Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan ... eligibility. + Processes claim referrals, new claim hand-offs, and escalates...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Novant Health (Winston Salem, NC)
- …Experience: Minimum two years in medical billing or hospital coding, as a claims processor, medical claims for an insurance carrier, or Clerical/Billing ... also handle patient inquiries regarding their accounts and resubmit claims as needed to ensure accurate reimbursement. Key Responsibilities:...experience in a medical office, preferred. + Additional skills required: + Excellent… more
- Cognizant (Raleigh, NC)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k)… more
- Towne Park (Burlington, NC)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... - 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and… more
- Humana (Raleigh, NC)
- …by utilizing code editing guidelines and data anomalies to ensure correct claim payment. The Senior Payment Integrity Professional work assignments require in-depth ... more years work experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare & Medicaid Services… more
- Open Mind Health (NC)
- …the company. The lead will also engage in timely follow-up to billing disputes, claim denials, and any other intervening issue that has the potential to interrupt ... the flow of claims and subsequent payer remittances. This individual will also...+ Post-secondary education at AA or beyond is desirable. Medical office certification is preferred. + Two plus years… more
- CDM Smith (Rocky Mount, NC)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more