- Commonwealth of Pennsylvania (PA)
- …Special Requirements: + You must possess an active motor vehicle license. + You must be at least 21 years of age at the time of application. + All employees ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....exam for this position. No additional exam is required at a test center (also referred to as a… more
- Wells Fargo (Charlotte, NC)
- …more about the career areas and lines of business at wellsfargojobs.com (https://www.wellsfargojobs.com/career-areas/) . **Business Overview:** The Global Operations ... pathways to learn and gain meaningful work experience while growing your expertise. At Wells Fargo, we are committed to a strong business infrastructure to manage… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... we make sure our members get the right care at the right place at the right...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- CVS Health (PA)
- …you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims ... At CVS Health, we're building a world of health...manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations… more
- UnityPoint Health (Urbandale, IA)
- …individual needs of each patient/customer and matches those needs to the many services UnityPoint at Home has to offer; utilizes other members of the home ... received by the Specialty Pharmacy including data entry, insurance processing , and prior authorization completion for specialty medications. Understands pharmacy… more
- Commonwealth of Pennsylvania (PA)
- …a driven and compassionate Social Worker Supervisor to lead our social services team at the Southeastern Veterans' Center. In this key role, you will oversee the ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....exam for this position. No additional exam is required at a test center (also referred to as a… more
- Humana (Montpelier, VT)
- …continued education. **Use your skills to make an impact** **WORK STYLE:** Work at home /remote with 15-20% travel required **WORK HOURS:** Regular business hours ... CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development...activities. This position may be subject to temporary work at home requirements for an indefinite period… more
- Billings Clinic (Billings, MT)
- …preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims ... Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere,...family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a… more
- Sedgwick (Sacramento, CA)
- …to a hybrid setting 2 days in the Sacramento Sedgwick office / 3 days' work at home .** + Be a part of a rapidly growing, industry-leading global company known ... payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients… more
- Atlantic Health System (Newton, NJ)
- …3 - Processing prescriptions through the insurance plan and resolving claim issues, Contact patients when medications are not available (back order or out ... incoming purchased orders, Stocking pharmacy equipment required for prescription processing , Remove expired medications off the shelf, ordering medications through… more
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