- CVS Health (Boston, MA)
- …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems , and digital member applications. + Associate degree or equivalent ... clinical support to members as well as navigating them through the health system , providing support on claims issues, and answering coverage-level questions.… more
- Carle Health (Normal, IL)
- …in denials reduction efforts, timely filing expectations for registration and authorization claim error resolution and serves as a SME for revenue cycle operations ... + Leadership - 2 years **Specialized Knowledge and Skill:** + Systems experience (preferably EPIC) with registration, eligibility, collections, and billing/ claims… more
- Mohawk Valley Health System (Utica, NY)
- …- Mondays Department: PATIENT ACCESS SERVICES Job Summary The Patient Financial Representative is responsible for the accurate and timely verification of insurance ... patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …Process and review claims in all clearinghouses utilized by the billing systems + Attend meetings as required + Other duties as assigned Competencies: + ... to the Insurance Specialist Team to ensure optimal management filing insurance claims , denial management and adjudication according to LBJI contracts. Essential Job… more
- Sunrise Senior Living (Randolph, NJ)
- …Resources** + Create and maintain team member personnel information in appropriate systems ; Human Resources Information System (HRIS), timekeeping system , ... controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary....reporting. + Perform business processes in the following technology systems : + Billing system . + Time keeping… more
- Post Holdings Inc. (Lakeville, MN)
- …brands and the larger organization to consumers by managing and resolving liability claims and unusual complaints and inquiries when they cannot be resolved or ... resolution and compensation. Assists in report analysis, training of front-line representative and peers, and other activities as needed. **Location: Lakeville, MN… more
- Generac Power Systems (Richmond, VA)
- …participatesin project-status calls. + Lead and manage the contract change order process, claim process, cost, document, and quality control efforts. + Manage RFIs + ... monitoringthe construction process. + Perform project management and owner's representative responsibilities. + Interface and maintain a positive relationship with… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …document benefit verification results in pharmacy systems . . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in obtaining ... and Rx Group numbers. . Use payer portals, phone, fax, and internal systems to obtain benefit information. . Collect and submit documentation from prescribers to… more
- NJM Insurance (Hammonton, NJ)
- …first point of contact for policyholders, claimants or other parties reporting claims . They are responsible for addressing customer inquiries concerning the claim ... incident, to accurately and efficiently establish new Auto, Property and Commercial claims . Schedule: Monday to Friday (9:30am-5:45pm) and 1 Saturday a month… more
- NJM Insurance (Trenton, NJ)
- …first point of contact for policyholders, claimants or other parties reporting claims . They are responsible for addressing customer inquiries concerning the claim ... incident, to accurately and efficiently establish new Auto, Property and Commercial claims . Available Schedules (working 4 days per week): + Monday-Friday (4:30PM -… more