- Highmark Health (Montgomery, AL)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- GAP Solutions Inc (Montgomery, AL)
- …systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice ... calendars; + screen phone calls and assist visitors; + make travel arrangements; + coordinate conference/meeting arrangements; prepares agendas, correspondence, and… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative ** Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Assists patients ... write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party… more
- RTX Corporation (Huntsville, AL)
- …standard provisions. + Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing business processes, policies ... and Program Counsel on significant legal problems and issues. + Minimal domestic travel to Raytheon sites as required. **Qualifications You Must Have:** + Typically… more