- Molina Healthcare (ID)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- BrightSpring Health Services (Nashville, TN)
- …and/or Collections in a large healthcare provider setting or a Medical Claims Processing organization. + Proven experience in successfully leading revenue ... Sr Director's responsibilities include identifying reimbursement issues, ensuring that claims , denials, and appeals are efficiently processed, and resolving… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an ... Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare… more
- Conduent (Lexington, KY)
- …and detail-oriented Document Processing Clerk to support the intake and processing of medical claims , financial and property documentation and forms in ... where individuality is noticed and valued every day. Document Processing Clerk Lexington, KY $15 per hour & Great...in bulk, ensuring all items are properly routed for processing . Job Details: + Receive sort and categorize all… more
- Mass Markets (IN)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
- Idaho Division of Human Resources (Boise, ID)
- …areas Property and Casualty insurance including: + Marketing or + Underwriting or + Claims processing or + Policyholder services Some knowledge of: + Legal and ... retrieve, compile, and analyze data as well as experience with word processing programs. Hiring managers are continuously considering applications for this position.… more
- Mass Markets (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... departments to resolve complex issues + Accurately documenting customer interactions and claims in internal systems + Using available resources and training to… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... departments as needed + Accurately document customer interactions and process claims + Follow all client-specific procedures, scripts, and compliance requirements +… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
- Bristol Myers Squibb (Princeton, NJ)
- …develops standards and expectations for teams outside of the 340B COE (eg, claims processing ) ensuring teams are properly trained and execute 340B-related ... Excellence (COE) including program integrity activities, covered entity eligibility processing , and development of supporting analytics and reporting. This position… more