- GuideOne Insurance (Atlanta, GA)
- …that leverage large language models (LLMs), Generative AI, and natural language processing (NLP) to enhance customer and agent experiences. This includes developing ... smart, impactful tools that make a real difference. Responsibilities: Multimodal Data Processing and Automation + Ingest and preprocess diverse file types: PDFs,… more
- Logan Health (Kalispell, MT)
- …may not be limited to; billing, payment posting, collections, payer claims research, customer service, accounts receivable, etc. Our Mission: Quality, compassionate ... Specific Duties: + Analyzes and interprets account data to facilitate timely claim and payment resolution as applicable to assigned area(s). Collaborates and/or… more
- Covenant Health Inc. (Knoxville, TN)
- …as it relates to front end and back end appeals hand-offs, payer correspondence, and claims processing . + Participates in the education and training of new staff ... documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary.… more
- Washington Headquarters Services (Alexandria, VA)
- …assisting senior HR specialists in managing open season events, processing benefits transactions, and maintaining relationships with external agencies such ... Experience independently managing aspects of open season events, ensuring timely processing of benefits transactions, and implementing new procedures from the Thrift… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …executing process improvement opportunities and initiatives + Healthcare experience-specifically claim processing , contact center, benefit verification, case ... management, or similar industry experience-is required + Call center or claim processing experience is a plus Skills + Prefer Lean Six Sigma certification at… more
- The County of Los Angeles (Los Angeles, CA)
- …a Human Resources Manager. Experience at the level ofPayroll Clerk Iis defined as processing the payroll for a segment of a County departmental or Health Services ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with...the level of Payroll Clerk I is defined as processing the payroll for a segment of a County… more
- St. Luke's University Health Network (Hamburg, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Responsible for contacting the Primary Care Physician ... patient prior to and after their testing is completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- St. Luke's University Health Network (Quakertown, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Maintain knowledge of current insurance regulations, trends ... patients prior to and after their visits are completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- Allied Universal (New Holland, PA)
- …you will serve and safeguard clients in a range of industries such as Food Processing Plants, and more. Join a leading team where flexibility meets opportunity. As a ... Flex Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up...Control Officer with Allied Universal at a bustling Food Processing Plant location, you will monitor entrances, check badges,… more
- CVS Health (Columbus, OH)
- …accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network Contract Validation team, ... EXCEL and working with large data files is critical. **Preferred Qualifications** - Claims processing experience is desired. - Experience with Health Rules Payor… more