- CVS Health (Atlanta, GA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High...+ High School Diploma or equivalent GED **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- Elevance Health (Tampa, FL)
- …Mason OH, Tampa FL, Richmond VA, Atlanta GA, Grand Prairie TX, Indianapolis IN ** Hours :** Monday - Friday **Travel:** This role requires associates to be in-office 1 ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Dominion Energy (Richmond, VA)
- …performance. + Reviews and handles freight bills. + Reviews and processes routine claims for lost or damaged materials. + Assists field personnel in expediting or ... experience is preferred but not required. + Basic knowledge of freight claim law procedures. + General knowledge of procurement practices, procedures, and policies.… more
- Sunrise Senior Living (Richmond, VA)
- …in a timely manner. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. **Quality Assurance, Safety and ... off (PTO), sick time, and holiday pay + myFlexPay offered to get paid within hours of a shift + Tuition Reimbursement + In addition to base compensation, Sunrise may… more
- CVS Health (Hartford, CT)
- …over 300,000 purpose-driven professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Provider Contract Testing** to join our Testing Center ... Preferred Qualifications + Familiarity with healthcare domain, provider contracts, and claims systems. + Experience with test management tools and automation… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist, Centralized Coding, Outpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift inpatient Covenant Health Overview: Covenant Health is ... Registration and Business Office personnel to resolve issues related to claims , coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster… more
- SSM Health (MO)
- …Cycle processes, including patient inquiries, insurance handling, payment collection, and claim resolution. + **Teach Technical Skills** : Provide instruction on ... on outstanding balances, effective and efficient resolution of denied and outstanding claims and applying payment and denial information to patient accounts. +… more
- CVS Health (Hartford, CT)
- …of over 300,000 purpose-driven professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Contract Pricing SME** to join our Testing Center ... functions. + 3 + years of strong understanding of claims adjudication systems and pricing methodologies. + 3 +...Bachelor's degree required or equivalent work experience. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... of benefits-related data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing all benefits… more
- TORKLAW (Las Vegas, NV)
- …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... 401(k) with 4% fully vested safe-harbor company match + Regular firm events (happy hours , team building, holiday party, etc) + Laptops are replaced every 3 years.… more