- Walmart (Zanesville, OH)
- …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; ... procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more
- Robert Half Accountemps (Hampton, VA)
- …in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare ... * Proven experience or eagerness to learn medical billing, coding, and claims processing . * Familiarity with medical terminology and coding systems. * Ability to… more
- Walmart (Oakwood Village, OH)
- …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; ... procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more
- Insight Global (Robinson, PA)
- …Skills and Requirements 1+ year of Pharmacy Benefits experience - processing claims , triaging denials, verifying benefits 1+ year of ... to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims , triaging rejected claims , and verifying benefits. Prior Pharmacy… more
- Cognizant (Owings Mills, MD)
- …types, service tiers, and penalty configurations to support healthcare products and claims processing . . Gather and analyze business requirements for benefit ... tiers, penalties). . Strong understanding of healthcare administration, benefit design, and claims processing workflows. . Proficiency in Facets modules such as… more
- Amentum (Washington, DC)
- …Expected duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing -OR- * An approved equivalent combination of education ... Skills/ Abilities:*/ * Excellent problem solving skills * Knowledge of EPIC claims processing systems and electronic health records * Must have skills in data… more
- Queen's Health System (Honolulu, HI)
- …highly desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business ... field may be substituted for one (1) year experience in medical insurance claims processing or billing. * Prior recent billing experience in an acute care… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Identifies claims and provider reimbursement related system problems, including claims coding and processing issues, coordinates research, audit, and ... new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well… more
- Baylor Scott & White Health (Temple, TX)
- …pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department ... THE ROLE** Helps members by phone or in writing to effectively resolve claims processing issues for all Health Plan products, utilizing pharmacy claims … more