- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- HCA Healthcare (Campbell, CA)
- …We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just last year,...+ Work with Finance, Medical Management, Contracting, IT and Claims departments + Provide support for and attend health… more
- MetLife (Cary, NC)
- …and partners with all parties to achieve a positive outcome Follows established claim policies and practices to resolve claims issues Performs other related ... duties as assigned or required. Essential Business Experience and Technical Skills: Required Master's Degree in Clinical Psychology or Social Work; if Registered Nurse will accept associate degree or higher with current RN state license. Must have 2+ years of… more
- Customs and Border Protection (Anchorage, AK)
- …Initiating and adjudicating civil liabilities arising from seizures, penalties, fines, and claims for liquidated damages initiated under the authority of Title 19 of ... 81 quarter hours. You are required to submit proof of your claim . Combining Education and Experience: Combinations of successfully completed post-high school… more
- Customs and Border Protection (Anchorage, AK)
- …Initiating and adjudicating civil liabilities arising from seizures, penalties, fines, and claims for liquidated damages initiated under the authority of Title 19 of ... semester or 54 quarter hours. You are required to submit proof of your claim . Combining Experience and Education: To combine your education and experience, you must… more
- BlackBox (Bowling Green, OH)
- …creates processes for order placement and inventory tracking. . Manage freight claim submission and follow-up by working across department lines and with customers. ... Creates processes to avoid future claims . . Processes customer requests for industry compliance. Works with suppliers and Product Engineering to ensure that all… more
- Catholic Health (Buffalo, NY)
- …up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A ... tasks or operation of a computer + Specialized experience such as medical claim billing, long term care and/or infusion pharmacy billing preferred KNOWLEDGE, SKILL… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... accounts, resolving denials, and fielding all incoming correspondence. Candidate will answer incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred… more
- Trinity Health (Fort Lauderdale, FL)
- …a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy ... and clean claim submission c. Responsible for balancing charges and adjustments...audits, and clinical billing. Strong understanding of various medical claim formats. + Knowledge of clinical documentation improvement processes… more
- Sonora Quest (Phoenix, AZ)
- …health! **POSITION SUMMARY** This position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments ... professional standards._ **MINIMUM QUALIFICATIONS** + Two (2) years' medical claim collection experience with knowledge of insurance billing requirements and… more