- Cardinal Health (Richmond, VA)
- …Practice Operations Management oversees the business and administrative operations of a medical practice. The Revenue Cycle Management team focuses on a series of ... Understand electronic claim interchange and the life cycle of primary and secondary claims . + Contribute to team efforts by accomplishing related results as needed.… more
- CVS Health (Farmville, VA)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- CVS Health (Richmond, VA)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- Option Care Health (Chantilly, VA)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... Assist Patient Registration Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory… more
- US Tech Solutions (Chesapeake, VA)
- …improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management… more
- Elevance Health (VA)
- …of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Microsoft Corporation (Boydton, VA)
- …and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you ... instructed by management (eg purchase order [PO] receiving, Rack Movement Supervisor [RMS] activities). Ensures accurate documentation of incoming and outgoing… more
- US Tech Solutions (Richmond, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... to clinical resources for assistance in determining functionality. + Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more
- Lowe's (Harrisonburg, VA)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... be scheduled off for a specific day require advanced notification and approval by supervisor . * Minimally must be able to lift 10 pounds without assistance; may lift… more
- Walgreens (Virginia Beach, VA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party...own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with… more
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