- US Tech Solutions (Carlisle, PA)
- …union, hew hire, termination, status, leaves of absence/FMLA, health & wellness insurance claims , disability claims , and paid time off. + Analyze each ... calculation of pay rates, promotions, demotions, paid time off, Sunday pay, insurance claims , disability claims , etc. + Research, compile and provide data for… more
- Centene Corporation (Salem, OR)
- …and standards. **Education/Experience:** High school diploma or equivalent. Associate's degree preferred . 2+ years grievance or appeals, claims , related managed ... - 5pm PST. **Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances… more
- Republic Airways (Tuskegee, AL)
- …and general administrative support to the LIFT Maintenance Department processing warranty claims and work orders. Assists in both material planning and scheduled ... may be assigned to this position as needed._ + Reviews and processes warranty claims with Diamond Aircraft, Austro Engines, MT Propeller and Garmin + Files all… more
- CVS Health (Hartford, CT)
- …PIAB Overpayment Recovery Department, in a production and quality environment, by validating claims to determine if they are overpaid based on Aetna Policy and ... guidelines. **Required Qualifications** A minimum of 1+ years QNXT claims experience (reading or processing of claims ) Excellent written communication skills… more
- The Estee Lauder Companies (Blaine, MN)
- …including maintenance of a QA standard library with R&D and Packaging + Claims development and validation, including legal, regulatory and safety claims approval ... and Product Profiles to summarize product performance, key ingredients, final claims and usage guidelines (based on test results). Position Purpose: Responsible… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred . Experience with healthcare insurance prior ... authorization/coding and performing insurance carrier/managed care review preferred . National Pharmacy Technician Certification preferred . LPN preferred .… more
- Centene Corporation (Sacramento, CA)
- …CA **2+ years of pharmacy experience in managed care environment. Pharmacy claims processing and prior authorization experience strongly preferred .** **Current ... state's Pharmacy Technician license and CPhT strongly preferred .** **Position Purpose:** This role will focus on ensuring...and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned +… more
- Cardinal Health (La Vergne, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... and prioritizes getting the right things done. + Processing chargeback claims from pharmaceutical wholesalers to manufacturers + Verifying membership, and performing… more
- Sharp HealthCare (San Diego, CA)
- …Variable **FTE** 0 **Shift Start Time** **Shift End Time** Workers' Compensation Claims Professional (WCCP) - The Institutes Risk & Insurance Knowledge Group; HS ... Equivalent + 1 Year experience in medical office and/or insurance. ** Preferred Qualifications** + Occupational Medicine experience. + Workers' Compensation Claims… more
- BrightSpring Health Services (Paris, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...with developmental disabilities. + One year previous supervisory experience preferred . + Experience in managing systems, processes, and people.… more