- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy ... under the pharmacy benefits. + Facilitate resolutions to issues involving claims adjudication, member concerns, and provider communications. + Addresses complex… more
- HUB International (Tallahassee, FL)
- …a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly maintaining quality and service standards as it ... liaison role with insurance company service partner contacts (such service and claim representatives) and client contacts. + Confidentially assist with all claims… more
- HUB International (Nashville, TN)
- …experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and ... responsible. These include non-routine coverage issues and questions, denial of claims , renewal strategies for key accounts, and interpretation of non-routine… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... Brightstar Home Care is license Home care agency, is a locally owned...payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented… more
- Sedgwick (San Juan, PR)
- …Adjusting **PRIMARY PURPOSE** **:** Completes non-complex projects related to claims operations including field, desk and estimating software activities; networks ... colleagues; and participates in defined learning path to pursue an adjuster license within 12 months of hire. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- HCA Healthcare (Campbell, CA)
- …on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are executing ... Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you...experience and/or one year of provider operations work required **CERTIFICATION/ LICENSE :** + No license or certification requirements… more
- The County of Los Angeles (Los Angeles, CA)
- …MINIMUM REQUIREMENTS TRAINING AND EXPERIENCE: Option I : A valid, current license to practice clinical psychology, clinical social work, marriage and family therapy, ... will NOT be accepted and may result in your application being incomplete or rejected. LICENSE : A valid California Class C Driver License or the ability to… more
- The County of Los Angeles (Los Angeles, CA)
- …in order to be appointed to fill any vacancies related to this recruitment. LICENSE : A valid, active license as a Licensed Clinical Social Worker issued ... Affairs, Board of Behavioral Sciences. OR A valid, active license as a Marriage and Family Therapist or Marriage,...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- …PERIOD TO ALLOW ADDITIONAL APPLICATION FILING, UPDATE BULLETIN LANGUAGE AND LICENSE REQUIREMENT. EXAMINATION NUMBER: PH5702D FIRST DAY OF FILING: Wednesday, July ... to patients. + Analyzes survey data and recommends approval or disapproval of license and certification of health care facilities and other providers in accordance… more
- TAK Broadband (West Monroe, LA)
- …+ Issue materials to field crews as necessary + Manage damage claim process; communicate with customer/homeowner/crews, complete damage claim investigations, ... proper damage claim resolution and maintain damage claim records + Completes site surveys; verifying paths, locates...a valid government-issued photo ID for verification; a driver's license is required if the role involves driving +… more