- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …a focus on + Development of initiatives to improve members health and health care quality and moderate claims trends + Design, implementation, and measurement of ... management initiatives in the areas of medical policy, payment policy, care management, pharmacy, health and wellness programs, fraud/waste/abuse, behavior change,… more
- University of Miami (Miami, FL)
- …compensable events. + Facilitate resolution of complaints/grievances pertaining to quality-of- care issues. + Facilitate interventions as necessary with Patient ... and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. +… more
- CareFirst (Baltimore, MD)
- …that makes him/her ineligible to perform work directly or indirectly on health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... and development teams. Identifies, analyzes, defines, and coordinates user, customer , and stakeholder needs and translates them into technical...Healthcare domain knowledge is must and working on ITS claims and Facets would be an advantage + Works… more
- CareFirst (Baltimore, MD)
- …seamless integration, configuration, and performance of core payer functions like enrollment, claims , billing, and customer service. Focuses on building robust ... + Experience working with core Facets modules such as claims , membership, provider, and billing. + Proficiency with Facets...to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is… more
- Omnicell (Warrendale, PA)
- …continuous improvement (CI) and 6S initiatives to support operational excellence and customer satisfaction. This position reports to the Sr. Manager, Inventory and ... Track and trace shipments, manage returns, and file freight claims for lost or damaged goods. + Ensure accurate...delivery. + Monitor and maintain On Time Delivery to Customer Locations. + Supply logistical information for field ops,… more
- Travelers Insurance Company (Austin, TX)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate...quarterly analysis of loss reserves for all lines and customer segments in the Financial Institutions business unit. +… more
- BronxCare Health System (Bronx, NY)
- Overview Reports to Manager of Unit Associates and works on Patient Care Units to perform clerical and receptionist duties related to the day-to-day operations of ... and equipment. Assist in the coordination of patient flow and coordination of Patient Care Services under the Patient Care Manager of the designated unit.… more
- CenterWell (Savannah, GA)
- …filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy ... claims rejections if appropriate. . Other duties as assigned...reports and data . Excellent communication and interpersonal skills, customer service oriented . Strong interpersonal & mathematical skills… more
- CareFirst (Washington, DC)
- …makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... problems. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for… more
- Intermountain Health (Lafayette, CO)
- …+ Provide support for estimates, financial assistance, payment plans, and charity care . + Communicate process and protocol to staff. Develop, implement and teach ... arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigate and resolve billing/insurance/ claims … more