- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** Employee will support the PIAB Overpayment Recovery Department, in a production and quality environment, ... by validating claims to determine if they are overpaid based on...guidelines. **Required Qualifications** A minimum of 1+ years QNXT claims experience (reading or processing of claims )… more
- Ferrotec USA (Livermore, CA)
- …for a list of office locations. HOW YOU MAKE AN IMPACT Provides support to the human resources department in the areas of new employee onboarding/orientation, ... training facilitations, reports, employee file maintenance, wellness initiatives and HRIS support . Uses various software packages, including Microsoft Office and UKG… more
- BrightSpring Health Services (Paris, TX)
- …psychological well being + Interacts frequently and positively with person(s) served and support staff to promote the rights of the person(s) served to achieve an ... personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce… more
- BrightSpring Health Services (St. Louis, MO)
- …psychological well being + Interacts frequently and positively with person(s) served and support staff to promote the rights of the person(s) served to achieve an ... personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce… more
- Element Consulting (Los Angeles, CA)
- …identify early indicators of cost or schedule impacts that could escalate into claims * Assist in compiling supporting documentation for expert analyses * Assist in ... clear, concise, and well-structured reports * Perform other duties as assigned in support of risk, dispute, and litigation functions * Interact as requested by… more
- Cardinal Health (La Vergne, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... understanding of service level goals and objectives when providing customer support . + Works collaboratively to respond to non-standard requests + Possesses… more
- Nuvance Health (Danbury, CT)
- …allied professionals. Responsible for providing credentialing reporting and ongoing support to WCHN administration and providers. Responsibilities: 1. Responsible ... outstanding issues or disputes related to credentialing. Responsible for reviewing claim issues involving payer and WCHN credentialing holds and/or payer issues.… more
- Highmark Health (Pittsburgh, PA)
- …calls and calls patient to relay information. + Works charge review and claim edit workqueues + Proactively manages wait list + Schedules procedures with patient ... and patient issues (no shows) + Orders supplies to maintain inventory + Support Medical Record request + Proactively identify and report office issues to supervisor… more
- Centene Corporation (Sacramento, CA)
- …**2+ years of pharmacy experience in managed care environment. Pharmacy claims processing and prior authorization experience strongly preferred.** **Current state's ... by supporting various operational tasks. + Perform duties to support the development, coordination and maintenance of the pharmacy...and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned +… 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 ... **Preferred Qualifications** + Occupational Medicine experience. + Workers' Compensation Claims Professional (WCCP) - The Institutes Risk & Insurance Knowledge… more