- Centene Corporation (Jefferson City, MO)
- …+ Interprets and analyzes complex data from multiple sources including claims , provider, member, and encounters data. Proactively identifies and assesses the ... more of the following skills are desired. + Experience with Big Data; Data Processing + Experience with Data Manipulation; Data Mining + Experience with one or more… more
- Insight Global (Elmwood Park, NJ)
- …handling payment reconciliations as well as variance analysis against customer claims . Backfilling contract management as needed and working closely with A/R, ... programs in revenue management system. Communicating technical aspect of the processing any assisting in resolution of system imperfections and setting preventive… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... manage frequent changes effectively and efficiently + Basic knowledge of insurance processing , guidelines and general laws related to all payers. + Basic knowledge… more
- CareFirst (Baltimore, MD)
- …physician review by compiling clinical, contractual, medical policy and claims information along with corporate and appellant correspondence. Formulates ... of appeals process and utilization management, and systems software used in processing appeals. + Excellent verbal and written communication skills, strong listening… more
- Trinity Health (Grand Rapids, MI)
- …files documentation. + Completes third party adjudication for prescription claims . + Utilizes computerized prescription dispensing system to complete the ... + Create patient profiles. + Prescription data input + Third party/insurance processing + Prescription refilling + Incoming and outbound calls with patients,… more
- MyFlorida (Fort Myers, FL)
- …hardware to enhance personal and organizational performance (spreadsheet, work processing , scheduling, e-mail, licensing and internet applications, and other ... Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business… more
- Robert Half Finance & Accounting (Flint, MI)
- …providing guidance on HR policies and benefits. * Handle workers' compensation claims and insurance-related tasks with accuracy. * Collaborate with leadership to ... knowledge of HR compliance and employment laws. * Proven experience processing payroll, with preference for familiarity with Paychex. * Strong organizational… more
- Omni Hotels (Carlsbad, CA)
- …Center and all its functions including: worker's compensation, unemployment/disability claims , recruitment and onboarding, employee self-service functions, paid time ... assets are protected as we manage our business. + Assist with processing of Employment Training Panel (ETP) documentation and other training / certification… more
- US Foods (Marrero, LA)
- …on shift. + Ensure optimal warehouse operations by preparing and processing routine forms, reports, and documents (inbound documents, outbound documents, discrepancy ... reports, stock and damage claims , time sheets, requisitions, shipping labels, etc.) following standard procedures. + Communicate with internal and external customers… more
- Mount Sinai Health System (New York, NY)
- …ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department ... either lead or co-author manuscript publications. Responsibilities will include processing large datasets, performing statistical analyses, developing models, preparing… more
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