- Robert Half Legal (Encino, CA)
- …case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance, Medicare, ... personal injury pre-litigation * Proficiency in handling pre-litigation cases and claims processing . * Strong ability to review and analyze medical records and… more
- Banner Health (Chandler, AZ)
- …services from the Specialty Pharmacy. Assisting the specialty pharmacists with claims processing , inventory management, and all necessary reporting requirements ... or related field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency and… more
- CVS Health (Hartford, CT)
- …operations - especially where healthcare intersects with global partnerships, claims processing , third-party relationships and government affiliated entities. ... Government, Business Compliance Office (BCO), Legal, Network Team and Claims Processing Team to standardize due diligence process for international third-party… more
- Humana (Oklahoma City, OK)
- …best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Assist in developing FWA education to ... (Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + Experience in a… more
- Amentum (Washington, DC)
- …duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …a must) + Knowledge of the health insurance industry, products and services + Familiarity with claims and claims processing . + NYS WC claim processing a ... contract/claim issues received by the provider or the client, and perform claims analysis + Maintain database for provider issues and create detailed reports… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …copay assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge "white ... Experience: Two years in a healthcare setting, including experience in a claims processing or high-volume call center. Minimum one year of relevant supervisory… more
- Amentum (Washington, DC)
- …Expected duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more
- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. ... claims , and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims process. Assists the… more
- APTIM (Santa Fe, NM)
- …Xactimate) preferred. + A minimum of five (5) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, ... **Summary:** The Mid-Level Estimator supports the claims review process by generating accurate cost assessments for disaster-related property damage. This role… more