- CVS Health (Trenton, NJ)
- …team, and measuring success through improved member health as evidenced through Data Analytics. + Assists the customer's Wellness Representative (s) in managing ... navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two...the employees and the customer Total Rewards team on appeals . + Assist the Total Rewards team with the… more
- State of Colorado (Denver, CO)
- … data from other data sources (eg, prevalence surveys, Medicare, or claims data ). + Measure the impact of antimicrobial stewardship efforts of CDPHE. + ... to collect, analyze, and report antimicrobial use and resistance data from healthcare providers and healthcare facilities to help...the official appeal form signed by you or your representative . This form must be completed and delivered to… more
- Banner Health (AK)
- …the best place to work and receive care. **The PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with assigned payer for ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …responsible for answering customer questions pertaining to product information, benefits, claims resolution and eligibility in a call center environment. This ... Responsible for answering customer questions pertaining to product information, benefits, claims resolution and eligibility in a call center environment. * Conducts… more
- University of Colorado (Denver, CO)
- …policy.oAssist in dispute resolution with consultants and contractors and assist others in the claims and appeals process as needed. + Serve as the Facilities ... the State Architect. Additionally, the Director serves as a representative for CU Denver on various internal and external...to be taken on the basis of analysis of data . May include prioritizing multiple responsibilities and/or accomplishing them… more
- Avera (Sioux Falls, SD)
- …complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff. + Work with ... and drug assistance. Regularly assesses updated information regarding insurance data , authorizations, and preferred providers. Track free drug assistance to… more
- Logan Health (Kalispell, MT)
- …may not be limited to; billing, payment posting, collections, payer claims research, customer service, accounts receivable, etc. Our Mission: Quality, compassionate ... other software as needed. Job Specific Duties: + Analyzes and interprets account data to facilitate timely claim and payment resolution as applicable to assigned… more