- CVS Health (Springfield, IL)
- …and handle contract related issues (ability to research and deep dive). + Claims research related to provider set up issues, payment resolutions and coordinate with ... Claims SME + Provider visits onsite, virtual, and telephonic...**Education** Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- Aveanna Healthcare (Atlanta, GA)
- …any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions ... correct and update EMR. Works with Collector to ensure claims are refiled and/or billed to the second insurance...Performs duties in an office environment during agency operating hours Must be able to function in a wide… more
- US Tech Solutions (Columbia, SC)
- …be an RN in SC and have an active and unrestricted SC RN license. + Hours /Schedule - M-F 8:30am - 5pm. + Onsite training for the first week. Remote once training ... provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- LG Energy Solution (Holland, MI)
- …such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and procedures ... investigate, and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process + Maintain, sustain,… more
- Sysco (Honolulu, HI)
- …product complaints with potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims administrator. Frequently interacts with ... Operations to collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records...and exposure to fumes and mechanical hazards. Flexible work hours (periodically may include 2nd or 3rd shift) AFFIRMATIVE… more
- MTA (Brooklyn, NY)
- …General Counsel/Assistant General Counsel Work Location 130 Livingston Street, Brooklyn Hours of Work: As required Non-Represented positions are eligible for ... a high volume of personal injury and property damage claims and lawsuits brought in state and federal courts...+ Handle high volume personal injury and/or property damage claims during all phases of litigation, including hearings, depositions,… more
- Prime Therapeutics (Denver, CO)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- City of New York (New York, NY)
- …and maintain expense and claiming data received from the Bureau of Claims & Reimbursement (BCR), which includes approximately 3,200 DSS/HRA/DHS and other agency ... claims submitted annually for Federal and State reimbursement. -...Work Location: 4 World Trade Center, New York, NY Hours /Schedule: 9 to 5 CLERICAL ASSOCIATE - 10251 Qualifications… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Director of Revenue Cycle , CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... but is not limited to: timely pre-bill edit resolution and claims transmission; transaction posting (receipts, adjustments, timely identification and resolution of… more
- OLV Human Services (Lackawanna, NY)
- …A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented ... with Finance to ensure patient charts are updated appropriately, if claims are denied/rejected. + Implement and maintain systems for insurance verification,… more