- US Tech Solutions (Richmond, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- Owens & Minor (Downers Grove, IL)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. + Ability to edit and resubmit ... claims for payment. + Prepares and reviews clean ...+ Provide feedback to Group Team Lead, Supervisor and Manager regarding issues regarding accounts. + Conducts routine tasks… more
- HUB International (Fresno, CA)
- …for their excellence throughout the insurance community. **THE OPPORTUNITY:** The Account Manager II manages a book of insurance business, and provides professional, ... a high degree of independent discretion, autonomy, and decision-making. The Account Manager II also supports Producers and other support staff in obtaining,… more
- Walmart (Espanola, NM)
- …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to the Vision...Optometrist is the clinical partner to the Vision Center Manager , and core to our mission of advancing eyecare… more
- Unilever (San Francisco, CA)
- …to come! This position's home company is OLLY. THE ROLE: SENIOR SHOPPER MARKETING ASSOCIATE OLLY is seeking a driven, creative Senior Shopper Marketing Associate ... including vendor proposals, budget alignment, SKU details, program setup, legal/ claims , and post-campaign reporting & recaps Display Vehicles & Packaging… more
- BronxCare Health System (Bronx, NY)
- Overview Reports to Manager of Unit Associates and works on Patient Care Units to perform clerical and receptionist duties related to the day-to-day operations of ... and coordination of Patient Care Services under the Patient Care Manager of the designated unit. Responsibilities 1. Describe responsibility:Establish and maintain… more
- WestCare Foundation (Dandridge, TN)
- …the financial and operational health of the organization. Essential Job Functions: + Claim Preparation & Submission: Prepare and submit accurate and timely medical ... claims to insurance companies, government programs, and other payers....allocation of funds. + Denial Management: Review and analyze claim denials, identify the reasons for denial, and take… more
- AAA Northern California, Nevada & Utah (Tucson, AZ)
- …targets as defined in the sales incentive plan and as assigned by the Insurance Associate 's manager . + Conducts an insurance review for clients to identify a ... Often assists the insured in initiating the first notice of loss on claims . Education & Experience/Licenses & Certifications + High school diploma or GED required.… more
- SERV Behavioral Health System (Hamilton, NJ)
- …staff and insurers within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals. + Ensures secondary billing is ... range of services. JOB SUMMARY: Reporting to the Billing Manager , the Senior Accounts Receivable Specialist will be responsible...denials for timely filing. + Follows up and escalates claims as outlined in the claim 's procedures… more
- Baylor Scott & White Health (College Station, TX)
- …Management, investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help ... 'lessons learned' from studying the event. + Assists the Manager of Insurance in managing claims related...field and four years of clinical experience. Or, an Associate 's Degree in a healthcare field and six years… more