- The Cigna Group (Detroit, MI)
- …to base an informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and available tools including ... Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan,...and systems. + Responsible for the training of new associate auditors on departmental processes. + Assist with post… more
- Zurich NA (Springfield, IL)
- …to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims , we understand the importance of flexibility and work-life balance in ... Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance...in line with key governance controls. Basic Qualifications: + Associate degree and 3 or more years of experience… more
- Sanford Health (Fargo, ND)
- …captured and reconciled against prescription records. Reviews and completes coding, claims , and denials for medications, supplies, and diagnosis within pharmacy. ... Assess pharmacists' progress notes for proper documentation. Monitors denials and claims to assess outstanding accounts receivable. Stay current on changing payer… more
- Compass Group, North America (Newark, NJ)
- …Home Office Risk Management team in responding to or managing any safety and claims issues * Working with operations and culinary teams to ensure the timely ... monitoring, and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Diversy inspectors to support… more
- UIC Government Services and the Bowhead Family of Companies (Oklahoma City, OK)
- …Support integration with ITSM system **Qualifications** + A+ or Network+ Certificate highly preferred + Security+ Certification highly preferred + Two plus (2+) ... years professional, relevant experience. + Associate 's Degree in Management Information Systems, Computer Science, or...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- AO Smith (Ashland City, TN)
- …This includes but not limited to management of proof of performance claims (POP), product return authorizations, credit and debit requests, price adjustments, and ... making and approval of credits, debits, and denial of claims if warranted + Establish key metrics for the...Bachelor's degree in Accounting, Finance, or related field strongly preferred . Will consider candidates with and Associates Degree and/or… more
- Zurich NA (Schaumburg, IL)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 5 or more years of experience...Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance… more
- Commonwealth of Pennsylvania (PA)
- …data analytics, finance, economics, math, or a closely related field;or + Associate degree from an accredited college/university with an area of concentration in ... You must be able to perform essential job functions. Preferred Qualifications (not required): + One or more of...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …to this occupational series. For more information, refer to Required Documents below. The Associate Chief of Staff (ACOS) of Research & Development works at Louis A. ... of an enthusiastic and well-motivated team of staff and investigators. The Associate Chief of Staff has direct patient care (clinical time, face-to-face patient… more
- Pearle Vision (Lone Tree, CO)
- …experience, foster patient/customer retention, and promotes outstanding associate /doctor satisfaction. OPTOMETRIC OFFICE TECHNICIAN The Optometric Office ... Adjust scheduling for priority patients * Scheduling appointments * Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and… more