- KPH Healthcare Services, Inc. (Greensboro, NC)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Sedgwick (Raleigh, NC)
- …injury referral calls from clients; gathers vital case details, obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM) ... Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and … more
- IQVIA (Durham, NC)
- …and check prior authorization and/ or appeal status) + Pharmacy Support (responsible for receiving medical claims from HCPs or patients and vetting the claim ... against program specific business rules to determine if the claim should be paid or rejected) With limited guidance, this role will provide expertise to support… more
- Canon USA & Affiliates (Raleigh, NC)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding rejects ... care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic… more
- Sedgwick (Raleigh, NC)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical ... and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Allied Universal (Raleigh, NC)
- …will reflect in our communities and customers we serve. We offer medical , dental, and vision coverage, life insurance, retirement plans, employee assistance ... most full-time positions! As a **Security Officer - Unarmed Medical Patrol** in **Raleigh, NC** , you will serve...As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up… more