- CVS Health (IN)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... and external customers. + Track requests, maintain status reports, and investigate claim /file failure trends. + Configure EDI setups and support implementation leads… more
- Elevance Health (Plano, TX)
- …period of time. + Inputs appropriate progress/billing note (test claim , real claim OOP, payment plan). + Adjudicate real claims daily and ensure credit ... Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and...and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry,… more
- The Cigna Group (Bloomfield, CT)
- …advise others. Recognized internally as a subject matter expert Knowledge and experience with claims data and Cigna's claims systems are a plus. Advantages of ... coding (HCPCS/CPT) experience required + At least 5 years' healthcare insurance claim editing/analysis background required + Strong attention to detail to include… more
- CVS Health (Boston, MA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more
- CVS Health (Phoenix, AZ)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review… more
- Elevance Health (Mason, OH)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment &… more
- Sedgwick (Austin, TX)
- …Services & Insurance Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim . + Consults police and hospital records and inspects property damage… more
- Sedgwick (Eden Prairie, MN)
- …payroll administration services for claimants receiving payments from outside of company systems. + Coordinates recovery activity on assigned cases. + Refers ... agencies as applicable. + Notifies employees verbally and in writing of claim overpayments. + Responsible for manual calculations of employee benefit overpayments.… more
- Robert Half Finance & Accounting (Dallas, TX)
- …for supervising a team, ensuring timely and accurate processing of medical claims , and driving efficiency in the accounts receivable function. The AR Supervisor ... functions. + Manage the preparation, submission, and follow-up of medical claims and billing activities. + Monitor cash applications, reconciliations, and payment… more
- Kelly Services (Columbia, SC)
- …processes adjustments and reprocessing actions according to department guidelines. + Entering claims into the claim system after verification of correct coding ... perform above expectations + Financially stable, A+ (Superior) rated company , in business for more than 70 years +...as needed to resolve inquiries. + Reviewing and adjudicating claims and/or appeals. + Identifying incorrectly processed claims… more