- Humana (Detroit, MI)
- …Program network providers in self-service functions - such as eligibility confirmation, claims submission and payment - by use of available tools. + Schedule, ... of provider inquiries, concerns, or problems, including those associated with claims payment, prior authorizations, referrals and state or Commissioner of Insurance… more
- TEKsystems (Des Moines, IA)
- …the insurance company decide whether to approve or deny a claim Skills data entry, computer literacy, Microsoft office, Microsoft excel, outlook, insurance, ... customer service and in compliance with all regulatory and company standards + Handles and responds promptly to inquiries...medical record, medical claims , healthcare, medical insurance, medical terminology, healthcare industry, administrative… more
- Allied Universal (Conshohocken, PA)
- ** Company Overview:** Allied Universal(R), North America's leading security and facility services company , offers rewarding careers that provide you a sense of ... and vision coverage, life insurance, a retirement plan, employee assistance programs, company discounts, and other perks, depending on the position and eligibility.… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- Sun Pharmaceuticals Industries Inc. is the fourth largest generic pharmaceutical company in the world, and rapidly building our brand presence. We manufacture, ... commercial performance. **Responsibilities:** **Leadership and Collaboration** + Lead the company -wide initiative to identify, consolidate, and harmonize commercial, operational,… more
- Rising Medical Solutions (Milwaukee, WI)
- …rates (UCR), current PPO contracts, coding and bundling guidelines, client instructions, claim history, and company policies and procedures + Achieve production ... offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000… more
- Robert Half Accountemps (North Charleston, SC)
- … claims , including filing reports, tracking incidents, and monitoring claim progress. * Respond to inquiries from employees regarding payroll, benefits, ... * Manage employee onboarding and termination paperwork, ensuring compliance with company policies. * Maintain accurate records of employee benefits, vacation days,… more
- Walmart (Mccordsville, IN)
- …and relevant risk management practices. Assists in the development of company policies, practices, and procedures relating to environmental risks. Implements ... assigned area of work. Creates action plans to address audit findings. Validates claim records work with worker's compensation case managers for investigation of … more
- Highmark Health (Nashville, TN)
- ** Company :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Ball Corporation (Millersburg, OR)
- …talent on board_** _._ _If youre looking for a fresh opportunity with a company committed to innovation and excellence, nows the time to apply!_ **Primary purpose ... analyses quality areas, including quality goals, quality problems, defective materials, claims and customer quality problems. Advises plant management and the… more
- Ford Motor Company (Brook Park, OH)
- …position ** In this position you will act as a Lead for Warranty claims linked to CEP engines. You will work cross functionally with different departments across ... VO) and Internally (FTT and JPH). At Ford Motor Company , we believe freedom of movement drives human progress....key external indicators (R/1000) + Support analysis of ECB claims and verbatims + Assist teams in customer problem… more