- Robert Half Legal (San Ramon, CA)
- …skills. + Ability to maintain confidentiality and handle sensitive information. + Associate 's degree required; Bachelor's preferred . + Completion of an ... and consumer law matters. + Review and analyze legal claims , demand letters, and subpoenas. + Identify, preserve, and...summarize, and analyze records and data. + Manage insurance claims reporting and respond to adjuster requests. + Maintain… more
- UIC Government Services and the Bowhead Family of Companies (Barrow, AK)
- …drug screening, and must follow all NON-DOT Drug and Alcohol testing program requirements. Preferred Qualifications: + Associate of Arts or Science degree. + Two ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- CareFirst (Baltimore, MD)
- …capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting ... to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- CVS Health (Frankfort, KY)
- …Managed Care/Utilization Review Experience + Bilingual preferred . + BSN preferred **Education** Minimum of Associate 's Degree in Nursing required; Bachelor's ... plans to comprehensively address member biopsychosocial care needs. * Reviews prior claims to address potential impact on current case management and eligibility. *… more
- Ferguson Enterprises, LLC. (Newport News, VA)
- …Funds Analyst** **Job objective:** Finance role responsible for analyzing rebate claims on vendor contracts and promotions, calculating monies due from vendors ... and M, F Remote** **Essential duties and responsibilities:** + Create vendor rebate claims in accordance with vendor agreements + Prepare and submit timely and… more
- Veolia North America (Woodridge, IL)
- …as required** + **Valid driver's license and clean driving record** **Additional Preferred Qualifications:** + ** Associate 's degree or certification in a ... solutions to common issues** + **Handling of customer warranty claims ** + **Escalate issues to management when needed** +...school diploma or equivalent; technical or vocational training is preferred ** + **Minimum of 2 years of experience as… more
- Black & Veatch (Virginia Beach, VA)
- …and EOR on solutions. Sometimes resulting in PCO/CO **Management Responsibilities** ** Preferred Qualifications** + Associate 's degree in a construction-related ... Verify materials/equipment and associated documentation for any stored materials claims + Verify that all other deliverables have been...discipline or craft apprenticeship preferred + At least 5-10 years field experience related… more
- PPL Corporation (Allentown, PA)
- …in organizations that support education, sustainability, and wellbeing. Overview The ** Associate Project Manager** is the single point of accountability for small ... with stakeholders. Track and reports progress. Document obstacles, delays and claims . viii. Participate in contracting decisions. Identify contract obligations on… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …coder (COC) preferred + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills + Knowledge of CPT/HCPCS ... operational impacts, inquiries and implementation efforts. + Assist in developing new claim editing logic and maintenance of existing rule logic to support payment… more
- CVS Health (Woonsocket, RI)
- …will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer ... programs, and investigate and resolve systemic issues relative to prescription claims processing that interfaces with stores, providers, patients, pricing and… more
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