- CVS Health (Monroeville, PA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals… more
- Elevance Health (Atlanta, GA)
- …for being the primary contact and liaison for and between the company 's medical partners and the pharmacy vendor for implementing and de-implementing client ... but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer...to accommodate the needs of our clients; this includes claim processing, customer service, & medical account management. +… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and… more
- CDM Smith (New Haven, CT)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...to do so. Where it's a priority that the company takes good care of you and your family.… more
- Alabama Oncology (Birmingham, AL)
- …for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, ... explanations of benefits and exercises all options to obtain claim payments. + Reviews credit balance reports for correct...manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends… more
- Philadelphia Insurance Companies (Plano, TX)
- …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is ... Description Marketing Statement: TM Claims Service (TMCS) is an independent global ...carry out responsibilities and/or other administrative activities at the Company . Qualifications: + College degree preferred + 1 to… more
- CVS Health (Franklin, TN)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... member's rights and responsibilities in accordance with contract. + Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider),… more
- Invenergy (Chicago, IL)
- …Project Management, Asset Management, Finance, Legal and other teams to ensure the Company has appropriately structured insurance programs + Support a wide range of ... claim related activities - claim notice intake,...bonus program(s) which are designed to reward individual and company performance. Your recruiter can share more about bonus… more
- CVS Health (Frankfort, KY)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... are handled within a timely manner. Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans ... Payment Integrity monitoring activities + Collaborate with other departments such as Claims , Medical Management, Internal Audit, Recovery and Legal teams + Support… more