- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …licensure, etc., at the request and discretion of the hiring agency. + Preferred Shift/Location: Select all location(s) and shift(s) you are willing to work on ... Training Program Manager may be substituted for the General and Special Experience. PREFERRED QUALIFICATIONS + At least 2 years of experience supervising staff in… more
- University of Utah Health (Salt Lake City, UT)
- …**Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on outstanding claims , ensuring ... dollar spreadsheets and/or payer escalations spreadsheets, as assigned. + Escalates claim issues internally to other key departments including Coding, Billing,… more
- Mount Sinai Health System (New York, NY)
- …in financial clearance issues which might delay their treatment start date. Submit claims with attachments and required claim forms when required, to Co-pay ... coding staff and billing assistants. **Qualifications** + HS/GED; Associates degree or higher preferred + 1 year of retail pharmacy technician experience + 3 years… more
- BrightSpring Health Services (Milwaukee, WI)
- …Sundays + Pharmacy tech license(if required by state) + National certification preferred + Previous pharmacy experience preferred Our Benefits Include: + ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- Caris Life Sciences (Irving, TX)
- …billing department, ensuring timely and accurate resolution of denied or underpaid claims . This role requires a strong understanding of payer guidelines, excellent ... team success. This role ensures timely and accurate follow-up on outstanding claims while also supporting team development through audits, training, and regular… more
- Guardian Life (Holmdel, NJ)
- …partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design ... Insurance to define business requirements for product, network, provider contracts, claims , online and technological capabilities and service. + Drive Go-to-Market… more
- Sedgwick (Atlanta, GA)
- …university preferred . **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education and ... experience required. Insurance or finance industry experience preferred . **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing, ensure accurate and ... + Understand and mitigate financial risks associated with self-funding such as large claims and fluctuations in healthcare costs. ADVISORY AND GUIDANCE: + Work with… more
- Centene Corporation (Carson City, NV)
- …flexibility. **_ Remote role, candidate must reside in Rural Nevada, preferred counties Elko,_** **_Douglas, Lyon, Carson, Nye, Storey or surrounding areas_** ... **_._** **_Candidate with a strong claims background, experience in issue resolution or client interaction highly preferred . _** **Position Purpose:** Maintain… more
- Alabama Oncology (Birmingham, AL)
- …for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, ... explanations of benefits and exercises all options to obtain claim payments. + Reviews credit balance reports for correct...manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends… more