- The Cigna Group (Morris Plains, NJ)
- …NCPDP guidelines; Point of Sale; Coordination of Benefit ("COB"); manual submitted claims processing ; retail pharmacy network system; CA-7 Scheduler; Endeavor; ... with or knowledge of: IBM Mainframes; COBOL6; JCL; VSAM; DB2; MQ; TSO/ISPF; PBM claim adjudication processing ; Inflation Reduction Act ("IRA"); CMS (HIPPA);… more
- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the ... year. There is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have experience contacting vendors to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have professional experience related to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have professional experience related to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have professional experience related to… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the "Level of Performance" which best describes your claim . + A. I have experience monitoring the physical… more
- Sharp HealthCare (San Diego, CA)
- …cash to patient invoice.Accurately identify a patient credit for immediate processing .Accurately identifies appropriate ANSI rejection code to post for all zero ... + The position need to be able to determine the processing of rejection codes and how to move a claim forward. + There is also the need to have familiarity… more
- Humana (San Juan, PR)
- …outcomes. **Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support ... with special attention to privacy, security, and regulatory requirements in claims processing . + Act as an escalation point for critical delivery blockers… more
- Michigan State University (East Lansing, MI)
- …and service excellence. Specific Duties and Responsibilities + Billing & Payment Processing (40%) Prepare and image medical bills for third-party vendor payment. ... Enter payments into DXC Assure Claims and export files to KFS. Distribute Explanation of...(5%) Assist analysts with LTD applications and related EBS processing . Perform other duties as assigned. Minimum Requirements Knowledge… more