- Elevance Health (Carroll, IA)
- …Relations Consultant, West Iowa** **Location:** Carroll, Iowa and surrounding counties ** Hours :** Standard M - F **Field:** This field-based role enables associates ... + Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. + May participation in… more
- US Tech Solutions (Columbia, SC)
- …medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. + Monitors process's ... training)** **Duration: 3+ Months Contract** **(Possible extension)** **Job Description:** + Hours /Schedule: Monday - Friday, 8:30am-5pm. + Onsite training for the… more
- US Tech Solutions (Columbia, SC)
- …medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's ... training)** **Duration: 3+ Months** **(Possible temp to hire)** **Job Description:** + Hours /Schedule: Monday - Friday, 8:30am-5pm. + Onsite 1-2 weeks, then will… more
- CVS Health (Sacramento, CA)
- …review a clinical determination and understand rationale for decision. Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- …focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear ... and Quality teams. + Proactively keep clients informed about claim status and take appropriate actions to enhance service...and features. + Analyze SAP data to monitor open claims and determine necessary follow-up actions. + Build and… more
- Alaant (Latham, NY)
- … + Process outgoing mail, adhering to office polices regarding distribution + Enter claims into claim system and ensure it is within compliance with state ... to promotion! We encourage you to apply now, if this sounds like you!** ** Hours and Benefits for theOffice Assistant:** + Monday-Friday, Hybrid, 35-hour work week! +… more
- CVS Health (Boston, MA)
- …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 ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees and the… more
- City of New York (New York, NY)
- …as a student in a college. The selected candidate may work up to 17.5 hours per week. The New York City Comptroller's Office works to promote the financial health, ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....clerical tasks. Selected candidate may work up to 17.5 hours per week. The prospective candidate must be capable… more
- Washington Headquarters Services (Alexandria, VA)
- …course work (credit hours ) were taken on a pass/fail basis, your claim of superior academic achievement must be based upon class standing or membership in ... it is recommended that applicants include their months and hours worked per week for each employment listed on...submit transcripts or proof of education to verify your claim .) SUBSTITUTION OF EDUCATION FOR EXPERIENCE AT GS-07 LEVEL:… more
- Molina Healthcare (Meridian, ID)
- **Job Description** **Must work 7:00am - 3:30pm in PST Hours ** Provides support for coordination of benefits review activities that directly impact medical expenses ... vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified… more