- Knowledge Builders Inc. (Albany, NY)
- …third-party administrators, with a strong understanding of drug pricing, rebates, and claims adjustments. In addition, the candidate must possess and/or have the ... health plans, pharmacies and manufacturers. - Ability to analyze pharmacy and medical claims to identify discrepancies, risk and non compliance. - Stay current on… more
- Trane Technologies (Colorado Springs, CO)
- …+ Responsible for general administrative functions to include processing service claims - concessions, Ship Product Defect (SPD), retrofit, labor warranty, purchase ... with Area Service Managers, BAS and HVAC Field Technicians, customers, and Trane claims as necessary to resolve obstacles. + Cross train for coverage of the… more
- Mass Markets (Savannah, GA)
- …systems to support customer needs + Accurately document customer interactions and process claims + Guide customers through options to find the best solutions + Use ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Walgreens (Grove, OK)
- …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
- The Cigna Group (Bloomfield, CT)
- …Manage third-party billing and collections, ensuring timely and accurate processing of claims and appeals. + Investigate denials and rejections to identify root ... and accounts receivable reports. + Evaluate payer guidelines to determine whether claims should be corrected, refiled, or appealed. + Interpret EOBs to validate… more
- The County of Los Angeles (Los Angeles, CA)
- …to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late ... mentioned in the bulletin to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Freeport-McMoRan (Green Valley, AZ)
- …company, including interacting with workers' compensation insurers, monitoring claims , developing and administering loss prevention and rehabilitation ... programs, maintain files, and provide necessary support in defense of claims . + Perform other duties as required. **Qualifications** **Minimum Qualifications** +… more
- Walgreens (Tullahoma, TN)
- …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
- ChenMed (Norfolk, VA)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …and analyzing current-state workflows across key functions such as claims , provider operations, member services, utilization management, care management, and ... this role:** . Deep, practical experience in payer operations such as: o Claims processing o Provider data management o Auth/UM/CM workflows o Appeals & grievances… more
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