- Humana (Oklahoma City, OK)
- …strong interpersonal skills. Key Role Objectives + Serve as primary relationship manager with physical and behavioral health providers to ensure positive provider ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... litigation progress. * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and external documents… more
- Zurich NA (Chicago, IL)
- …AVP, Underwriting Director OR VP, Senior Underwriting Director level. The hiring manager will determine the appropriate level based upon the selected applicant's ... work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more
- Centene Corporation (Frankfort, KY)
- …matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics. + Serve as ... teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
- Bon Secours Mercy Health (Warren, OH)
- …for clinical and operational excellence. **Reports to Title:** Pharmacy Supervisor, Manager , or Director **Summary of Primary Function/General Purpose of Position** ... copies of non-controlled prescriptions (ie Prescription transfers). Technician checking of associate technician work prior to dispensing. *Assisting in the education… more
- Helio Health Inc. (Gloversville, NY)
- …has not done so. + Consistent follow up with all insurance companies to work claim denials. + Prepares weekly and monthly reports of Medicaid billing for the ... Manager of Revenue Cycle Management and Medical Records. +...as assigned. Qualifications + High School Degree /GED required, Associate 's degree preferred. + Excellent verbal and written communication… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and audits potential sources of safety information under the guidance of the Manager , Pharmacovigilance. Sources may include recorded calls, claims , faxes, text ... the sum of its parts. Under direct supervision of the department manager or supervisor, the Specialist, Pharmacovigilance is focused on meeting ConnectiveRx's… more
- Trinity Health (Livonia, MI)
- …compliance per agency policy. This position works closely with the Business/Facilities Manager and THAH Collection analyst in the tracking of untimely documentation ... information is accurate, and paperwork is received timely for the submission of claims . Responds to all system issues by preparing documentation for the resolution… more
- The City of Rochester, MN (Rochester, MN)
- …in the payroll system to maintain current information. + Verify unemployment claim information and respond appropriately to requests for information. + Assist with ... various programs. + Gather, verify and enter data into the workers' compensation claim system. + Obtain work status information from the treating physicians. Perform… more