- Stanford University (Stanford, CA)
- …position is based in the US, and requires flexibility to adapt work hours for effective and timely collaboration with Stanford's central HR organization and staff ... with third-party administrators, vendors, and consultants to investigate discrepancies, claim issues, and provide information in non-routine situations. Review and… more
- UPMC (Pittsburgh, PA)
- …excellence, our Member Services Team educates and guides our members through coverage, claims , and other program inquiries. UPMC Health Plan is proud to be an ... 90 miles of Pittsburgh or Erie. Our standard operating hours are 7 days per week, 8 am -...clearly and simply, like how to check on a claim or what a benefit includes._ + _Solve problems… more
- US Tech Solutions (Monroeville, PA)
- …+ Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with ... offices, third party payers, patients and/or their responsible parties and claim processors. + This position requires work within several different operating… more
- ICW Group (San Diego, CA)
- …optimizing data models that support actuarial analysis, policy processing, claims processing, underwriting, compliance reporting, and overall business intelligence ... logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds and maintains… more
- Commonwealth of Pennsylvania (PA)
- …. Work Schedule and Additional Information: + Full-time employment, 40-hour work week + Work hours are 2nd shift (2:45 PM to 11:15 PM), rotating on and off duty days ... addresses the items listed below which relate to your claim . If you indicated you have no work experience...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- CVS Health (Frankfort, KY)
- …to the member to determine accuracy/appropriateness of benefit/administrative denial. -Research claim processing logic to verify accuracy of claim payment, ... language. -1-2 years experience that includes but is not limited too claim platforms, products, and benefits; patient management; product or contract drafting;… more
- Interior, Bureau of Indian Affairs (Mcdermitt, NV)
- …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 ... of a full 4-year course of study (120 semester hours or 180 quarter hours ) in any...provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts… more
- Interior, Bureau of Indian Affairs (Fort Yates, ND)
- …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 ... a full 4 year course of study (120 semester hours or 180 quarter hours ) in any...provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts… more
- Interior, Bureau of Indian Affairs (Owyhee, NV)
- …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 ... Enforcement Communications Center that provide the following services: Provide full services 24- hours /day, seven days a week. Maintain full on-site access (query and… more
- Texas Health Resources (Arlington, TX)
- …Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours : Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at ... and their impact across different provider types, Experience with healthcare claims (Facility and Professional), knowledge of physician reimbursement. Pref Education… more