- Healthfirst (NY)
- …and other various health plan business objectives + **_Serving as an advocate for Hospital Providers within Healthfirst_** + **_Work closely with numerous ... experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication… more
- The Cigna Group (Bloomfield, CT)
- …data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management. + Ability to take ... **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers… more
- DoorDash (New York, NY)
- …iterate quickly to improve outcomes. + Serve as the internal expert and advocate for insurance within marketing-ensuring it connects to broader trust, safety, and ... to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of… more
- TORKLAW (Chicago, IL)
- …+ Property Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in ... year since 2016 + Featured in CNN, Forbes, The Wall Street Journal, Daily Journal, The Advocate If you would like to be a part of a downright badass team like this,… more
- TORKLAW (Las Vegas, NV)
- …to: + Opening and setting up new client files; + Opening and reporting claims to insurance companies; + Placing statutory lien holders on notice; + Drafting ... year since 2016 + Featured in CNN, Forbes, The Wall Street Journal, Daily Journal, The Advocate If you would like to be a part of a downright badass team like this,… more
- AmeriHealth Caritas (Washington, DC)
- …with the vendor to ensure provider data accuracy and apply appropriate claims processing guidelines. + Collaborates to resolve system issues and understand and ... utilize the vendor's systems and reporting capabilities. + Advocate for members to access covered care by plan at AHC providers or through fully delegated network… more
- Access Dubuque (Dubuque, IA)
- …who need financial assistance with their clinic/hospital bills to a Financial Advocate . + Perform functions other than described due to extenuating circumstances. + ... TH Comments **Similar Jobs** IT Specialist Southwest Health Workers Compensation Claims Adjuster (Southeast Ex Cottingham & Butler/ SISCO Campus Talent Acquisition… more
- Amgen (Phoenix, AZ)
- …and team of healthcare providers to empower the patient to become their own advocate + Educate the patient on KRYSTEXXA coverage based on their benefits and the ... access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with Safety and PV and report AE's and… more
- Independent Health (Buffalo, NY)
- …**Essential Accountabilities** + Servicing + Responsible for acting as a customer advocate by demonstrating active listening skills to fully understand the scope of ... appeals as needed. + Effectively resolve inquiries from customers regarding claims , benefits, eligibility, and reimbursement. + Maintain knowledge of all pertinent… more
- Elevance Health (Winston Salem, NC)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... members questions at the first point of contact preferred. + A customer advocate willing to listen and find creative solutions to address and resolve customers… more