- IQVIA (Durham, NC)
- …clinical trials, real world evidence, and consulting in all areas of the medical product lifecycle. The Patient Centered Solutions (PCS) team leads the industry in ... developing and executing a COA endpoint strategy with successful outcome of COA label claim + Experience preparing for, and participating in Type B and Type C… more
- CVS Health (Winterville, NC)
- …labeling all prescriptions + Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in adherence of CVS ... direct customer to pharmacist if necessary + Field any medical questions when appropriate + Communicate and interact with...care + When applicable, solicit information on a customer's medical history to give appropriate medical advice… more
- CVS Health (Raleigh, NC)
- …Regularly analyzing and presenting health assessment data, organizational assessment, claim utilization data, employee survey data, biometric screenings data, ... + **Preferred Qualifications** + 2+ years of experience working with group medical insurance products and coverage options. + Certified Wellness Practitioner or… more
- UNC Health Care (Chapel Hill, NC)
- …Documentation by the orthotist and/or prosthetist is part of the patient's medical record and establishes medical necessity for orthotic and/or prosthetic ... liaison for the billing department to obtain the necessary information for claim payment. Compliance with practice management plans to develop and document policies… more
- Humana (Raleigh, NC)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Wells Fargo (Charlotte, NC)
- …Wells Fargo is seeking a **Lead Software Engineer** within the Fraud and Claims Technology team, part of the **Technology for the Chief Operating Office** (TCOO) ... drives modernization and optimization across these domains. Within TCOO, the Fraud and Claims Technology team is looking for a Lead Software Engineer to contribute… more
- Humana (Raleigh, NC)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Novant Health (Charlotte, NC)
- …revenue cycle functions across the health system. This includes billing, claims management, cash posting, insurance follow-up, denials resolution, customer service, ... skills. + Ability to work collaboratively with executive leadership and medical staff. + Knowledge of government regulations and accrediting body standards.… more
- Affordable Care (Charlotte, NC)
- …you need to do your job well. **Additional benefits include** , group medical and dental insurance, vision insurance, life insurance, flexible spending (health and ... treatment and financial arrangements, handling the insurance billing process ensuring all claims are processed in a timely manner according to a variety of… more
- Humana (Raleigh, NC)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more