- J&J Family of Companies (Jacksonville, FL)
- …requirements. Refer HCPs and staff to centralized access, reimbursement, or REMS support teams for questions outside of promotional scope. + Educate appropriate ... processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules… more
- BrightSpring Health Services (Louisville, KY)
- …sets up pricing and plan parameters in the pharmacy practice systems to support PharMerica client contracts and 3rdparty plans. Responsible for the client pricing ... internal partners on client pricing and coverage set-up + Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or… more
- Robert Half Accountemps (Phoenix, AZ)
- …information * Answering PFP calls and responding to policyholder inquires with claims , service and intake related issues * Provide detailed information about ... team to increase APV revenue * Ability to handle claim intake for PFP * Consistently meets or exceeds...technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- Interior, Bureau of Indian Affairs (Coolidge, AZ)
- …based on your education, you MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or ... undergraduate course work (credit hours) were taken on a pass/fail basis, your claim of superior academic achievement must be based upon class standing or membership… more
- Robert Half Accountemps (Indianapolis, IN)
- …candidate will be responsible for managing patient billing processes, ensuring accurate claim submissions, and following up on outstanding payments. This role plays ... health of our organization. Key Responsibilities: + Prepare and submit medical claims to insurance companies and government payers. + Review and verify patient… more
- The County of Los Angeles (Los Angeles, CA)
- …and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- UPMC (Pittsburgh, PA)
- UPMC Mercy is hiring a Full Time Patient Safety Specialist to support our hospital! This position will work Monday-Friday during business hours. Purpose: Responsible ... for action, and assuring compliance with the program. + Maintain investigative, claim and legal files with strict adherence to confidentiality mandates. Assist, as… more
- NJM Insurance (Trenton, NJ)
- …of medical bills and participating in targeted compliance and process audits to support the department. This role also supports the QC Supervisor in completing ... compliance checklist reviews for both PIP and Workers' Compensation Claims . Essential Duties and Responsibilities: + Assist the QC Supervisor in completing PIP and… more
- Centene Corporation (Queens, NY)
- …+ Conducts regular in-person visits with physicians to provide real-time support , discuss performance metrics, and identify opportunities for improvement in patient ... Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures… more
- DiPasquale Moore (Kansas City, MO)
- …and open multiple insurance claims daily to initiate the beginning of the claim process on behalf of clients via phone calls and emails + Draft and organize ... letters of representation, collect police reports, and obtain other documentation necessary to support the liability phase of each case. You will work closely with… more