- NHS Management, LLC (Irondale, AL)
- …and patient information + Assist in resolution of denied third party insurance claims , eg PDPs, Medicaid, etc. + Locate medication from pharmacy supply area, count ... of plan(s) of improvement as indicated, recommended and/or required by Supervisor , Director, or any other corporate or regulatory compliance consultant. Communicates… more
- CVS Health (Trenton, NJ)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Dragonfly Health (Wexford, PA)
- …the incumbent's performance objectives as outlined by the incumbent's immediate supervisor or manager._ 1. Accurately perform prescription data entry in accordance ... and traceability. 8. Assist local pharmacies with adjudication of claims for emergent medications, escalating urgent requests appropriately and following… more
- Cardinal Health (Sacramento, CA)
- …Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a ... other duties and projects assigned. **_Qualifications_** + 4-8 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, … more
- Sysco (Jessup, MD)
- …HR processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, transitional return to work, leave ... + 2-5 years of experience in Human Resources management preferred and/or an equivalent combination of related training and...other job related duties requested by his or her supervisor . Reasonable accommodations will be made to enable individuals… more
- Prime Healthcare (Chicago, IL)
- …insurance information is verified accurately and timely to support clean claims submission, reduce denials, and optimize reimbursement. The manager provides ... school diploma or equivalent experience required 2. Bachelors' Degree preferred . 3. Three to Five years' experience as a.... 3. Three to Five years' experience as a supervisor / manager in the Revenue Cycle areas of a… more
- CVS Health (Royal Oak, MI)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- CVS Health (Southfield, MI)
- …Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members.* Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Point32Health (FL)
- …**Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal ... regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint request… more
- State of Colorado (Pueblo, CO)
- …+ Ensures all required training is current per CMHHP policies. + Reports any claims of harassment or workplace violence to public safety, charge RN, Lead Nurse, and ... level. + Reports abuse allegations right away to the charge nurse and immediate supervisor , and refers to public safety. + Notifies the unit RN about any changes… more