- CVS Health (Springfield, IL)
- …Explains member's rights and responsibilities in accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints ... Assists in preparation of complaint trend reports. Assists in compiling claim data for customer audits. Determines medical necessity, applicable coverage provisions… more
- Colorado State University (Fort Collins, CO)
- …when designated by position in pharmacy workflow + Navigates insurance requirements, claim submission, and troubleshooting rejected claims + Handles prescription ... Research Professional Classification TitleTechnical/Support II Number of Vacancies Work Hours /Week40 Proposed Annual Salary Range$45,000 - $50,550; Salary is… more
- Northern Light Health (Brewer, ME)
- …Light Health. Position is focused on financial accuracy in billing and claims . Auditing and reconciling departmental charges, analyzing claim denials, and ... is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40 Work Schedule: No Hours...charges and reimbursement. + Works across teams to resolve claim denials. + Use Pharmacy Pricing Policy to determine… more
- Allied Universal (Colorado Springs, CO)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...and tablets. + Flexibility to work varied and irregular hours /days including weekends + Successful completion of the Allied… more
- DiPasquale Moore (Kansas City, MO)
- …steps to reach a satisfactory resolution to each of our client's claims . Duties & Responsibilities: + Managing high volume personal injury caseloads through ... the work comp claim process + Obtain and review medical records, wage...plan - up to 4% + 3 weeks (120) hours of PTO + Paid Holidays + Work/Life balance… more
- Publix (Lakeland, FL)
- …identified receiving discrepancies (over, short, damage, refusals and/or wrong goods) for claim liability and making sound business decisions to mitigate or prevent ... responsibilities may be assigned as needed. **Req ID:** 35334BR ** Hours of Work:** 7:30 AM - 4:00 PM, Monday...and PIMS) + have knowledge of transportation and freight claims + have knowledge of the transportation industry +… more
- Gerber Collision & Glass (Huntington, WV)
- …team is, day in and day out. What Glass America offers you: Part Time (24 hours per week) employees enjoy What Glass America requires of you to be successful: + What ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Process driven with the understanding of how to manage Claim Spreadsheets. Glass America is an Equal Opportunity Employer.… more
- CVS Health (Jefferson City, MO)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... (high school diploma or GED + 2 years of relevant experience). **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range for this… more
- CVS Health (Madison, WI)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to ... Wheelchair DME consultant include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the… more
- BrightSpring Health Services (Lubbock, TX)
- …and federal laws + Inform location representatives and employees of worker's compensation claim process. Assist as needed with claim processing. Keep supervisors ... and management team informed of open claims and return-to-work status + Maintain positive employee relations...a team + Must be willing to work flexible hours and able to travel occasionally + Strong organizational… more