- Humana (Pierre, SD)
- …it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Centene Corporation (Jefferson City, MO)
- …preferably healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems ... and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing… more
- Walgreens (Houston, TX)
- …policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all ... payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis. + Manages and attains inventory… more
- TD Bank (Washington, DC)
- …matter expertise in the areas of KYC/AML, insider threat, and fraud and claims . This role provides support for end-to-end regulatory issue management to include ... related regulatory experience preferred. Includes but not limited to KYC/AML, fraud and claims , insider threat, Reg E, and BSA) + Understanding of Risk and Control… more
- Robert Half Office Team (Branchville, NJ)
- …across various corporate departments, including accounting, finance, marketing, and claims . This position requires a proactive approach to sourcing, interviewing, ... to manage recruitment across corporate functions such as finance, marketing, and claims . * Strong knowledge of Applicant Tracking Systems and recruitment tools. *… more
- PruittHealth (Norcross, GA)
- …**ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Insurance claims . * Research, correct and re-bill outstanding Insurance claims . ... * Responsible for Insurance Collections and Days Sales Outstanding. * Work with the healthcare center administrator and office personnel to manage the facility's Insurance accounts receivable. * Respond to change productively and handle additional projects as… more
- Atlantic Health System (Hackettstown, NJ)
- …registration + Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims + ... Requests payment of financial dues from patient or guarantors + Obtains federally required and hospital related consents in a timely manner + Reconciles daily bank bags and posts dues collected and/or data entry or charge codes within the financial system. +… more
- Atlantic Health System (Morristown, NJ)
- …registration + Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims + ... Requests payment of financial dues from patient or guarantors + Obtains federally required and hospital related consents in a timely manner + Reconciles daily bank bags and posts dues collected and/or data entry or charge codes within the financial system. +… more
- Sedgwick (Boston, MA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Boehringer Ingelheim (St. Joseph, MO)
- …to achieve project milestones. + Designs clinical studies to earn label claims and new product licenses/marketing authorizations consistent with the TPP and in ... studies to establish safety and efficacy of new pharmaceuticals, and to develop new claims and uses for existing products. + Ensures compliance around GSP, GLP, GCP,… more