- The Cigna Group (Tempe, AZ)
- …+ Growth and Advancement opportunities **NOTE** : We are currently training in a work at home environment, and you will be required to have reliable internet ... profiles in system if needed. + Prepare prescriptions for processing , including assessing validity of prescription. + Manually route...your current set up. If you will be working at home occasionally or permanently, the internet… more
- BrightSpring Health Services (Louisville, KY)
- …to internal partners on client pricing and coverage set-up + Ensures accurate claim processing by correcting and communicating discrepancies found in set-up ... to work effectively with internal customers Microsoft office products + Knowledge of claims processing system or pharmacy practice system desired + Strong… more
- Commonwealth of Pennsylvania (PA)
- …accountable for determining eligibility for financial assistance, Medicaid, SNAP, LIHEAP, nursing home care and waivers as well as any additional programs the ... determining eligibility for financial assistance, Medicaid, SNAP, LIHEAP, nursing home care, and waivers as well as any additional...County. The ability to telework is subject to change at any time. + Salary: Selected candidates who are… more
- St. Luke's University Health Network (Nazareth, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Maintain knowledge of current insurance regulations, trends ... looking for opportunities in healthcare? If so, Physical Therapy at St. Luke's should be your top choice! St....and after their visits are completed. Process supports clean claim processing and patient satisfaction. + Responsible… more
- Henry Ford Health System (Troy, MI)
- …risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the highest rate ... support of the designated area of responsibility to provide timely billing processing and ensure accurate response to customers. Builds and maintains strong working… 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
- Humana (San Juan, PR)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... Policies and Claims Payment Policies + CAS claims processing experience + Experience in data...experience + Experience in data analysis and trend monitoring **Work- At - Home Requirements** To ensure Home … more
- Evolent (Des Moines, IA)
- …with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management ... clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for...require that all employees have the following technical capability at their home : High speed internet over… 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 ... exam for this position. No additional exam is required at a test center (also referred to as a...US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- HCA Healthcare (Denver, CO)
- …otherwise assigned) . Work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, ... plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and… more