- Guidehouse (Boston, MA)
- …Testing** : Confirm HL7/FHIR message integrity across labs, imaging, MIIS, PBM claims , and SOPS Meta. + **Security Testing** : Validate role-based access, HIPAA, ... AA standards for behavioral health and vulnerable populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel… more
- Walgreens (Verona, NJ)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Mass Markets (Wichita, KS)
- …systems to support customer needs + Accurately document interactions and process claims in internal systems + Engage customers in solution-focused conversations to ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Allied Universal (Buffalo, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... **4** **/** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- Walgreens (Chiefland, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Groveland, FL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- City National Bank (Newark, DE)
- …these alerted transactions via outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in the prevention of losses ... to mitigate risk and protect the Bank from financial loss * Opens cases/ claims on all suspicious activity and appropriately investigate, and escalate when needed *… more
- Mass Markets (Savannah, GA)
- …other departments as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best solutions for ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- MyFlorida (Tallahassee, FL)
- …A Special Deputy conducts administrative hearings on disputed reemployment assistance (RA) claims based on appeals filed by claimants and employers concerning the ... A Special Deputy conducts administrative hearings on disputed reemployment assistance (RA) claims based on appeals filed by claimants and employers concerning the… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims for missing notices to be a valid reason for re-scheduling an exam ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
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