- HUB International (Roseville, CA)
- …Manager. **QUALIFICATIONS** + High School / GED + 1-2 years healthcare claims processing , or benefits administration preferred + Bilingual preferred **KNOWLEDGE ... Handles inbound calls on a queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone calls and inquiries no later… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with firm… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …PBM environments; additionally, you will have a strong understanding of PBM claims processing and related technologies. Your Responsibilities * Primary ... to driving successful IT development initiatives within the Pharmacy Benefits Manager (PBM) claims space. As a Senior Consultant, you will serve as a critical… more
- Capgemini (New York, NY)
- …Tableau or Qlik Strong understanding of insurance workflows such as policy issuance claims processing and customer onboarding Ability to work with large datasets ... workflows The analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and… more
- Fair Haven Community Health Care (New Haven, CT)
- …Fair Haven prides itself on efficient billing services including the filing of claims , appeals processing , authorizations, and, above all, a great passion for ... review and encounter posting + Prepares and submits clean claims to various insurance companies either electronically or by...either electronically or by paper when necessary + Work claims and claim denials to ensure maximum reimbursement for… more
- Bayer (Whippany, NJ)
- …relevant laws and regulations. 4. **Error Identification** : Detect discrepancies in claims eligibility, processing , invoicing and reporting. 5. **Insights into ... supports the following rationale for conducting customer audits: 1. **Accuracy of Claims ** : To ensure proper reimbursement and prevent revenue loss. 2. **Contracts… more
- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of ... copay card programs. + Accurately calculate costs and savings while processing specialty medications. + Provide customer service and explain complex insurance… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …year of professional experience in auditing, policy, data analysis, or claims monitoring/ processing . + Excellent analytical skills, effective organizational and ... 2 years of professional experience in auditing, policy, data analysis, or claims monitoring/ processing . + Minimum 1 year professional experience in government… more
- TEKsystems (Columbia, SC)
- …Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu ... experience. Preferred Software and Other Tools: Knowledge of word processing , spreadsheet, and database software. Preferred Education: Associate Degree Preferred… more
- Novant Health (Charlotte, NC)
- …to patients and staff for billing and insurance questions. Ensures charges drop for claims processing . Works closely with practice coder in resolution process. + ... seeking a Patient Services Coordinator IV. The PSC IV is responsible for processing referrals at least 50% of the time and/or performing Dimensions super-user… more