- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- Greater Opportunities for Broome and Chenango, Inc (Binghamton, NY)
- …Human Resource functions. The HR assistant must be detail-oriented and proactive to support the Human Resources department. The HR Assistant will handle a variety of ... Insurance + Paid snow days + 12 Paid holidays **Education and Experience:** Associate 's degree (A. A.) or equivalent from two-year college or technical school; or… more
- Elevance Health (Chicago, IL)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Fallon Health (Worcester, MA)
- …PCP offices on new authorization procedures as needed as well as answer benefit/ claims /referral questions in support of the Customer Service function. + Manage ... in order to facilitate the member's medical services or the providers' claims . Interprets and triages information to ensure appropriate action is initiated to… more
- Methodist Health System (Dallas, TX)
- …Shift: Day Job Description: Job Description: The purpose of the ** Associate Provider Services Representative** is multifaceted; it requires excellent interpersonal ... physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze problems/issues/questions and… more
- Compass Group, North America (Miami, FL)
- …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 ... of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Steritech...Work with local OSHA, sanitation or Steritech inspectors to support inspections or local initiatives * Other duties as… more
- Walgreens (Orlando, FL)
- …the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Stanford University (Stanford, CA)
- …across 36 intercollegiate varsity teams. It resonates in our unwavering support for the university's physical education, recreation, and wellness initiatives. At ... accepting applications for the position of Insurance Specialist, reporting to the Associate Athletic Director, Sports Medicine, you will be working cohesively and… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …with Federal, investor and Bancorp requirements. + Review, approve or deny & pay claims for tax provider that result in 5/3 charge offs. + Work closely with ... correct improper escrow line set-up issues. + Work w/ Title Agencies to file claims on incorrect legal descriptions they provided and to also get corrected legal… more
- Sweetser (Saco, ME)
- …management) in the patient accounts management information system. * Provides billing-related support to clients and staff via email, telephone, and/or in person. * ... billing and related documentation. * Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until … more