- AscellaHealth (Berwyn, PA)
- …preferred, including benefit design, specialty pharmacy services, rebate management, claims processing , and clinical program implementation. + Experience ... promotional strategy that aims to increase the demand for a product's Rx claims as well as AscellaHealth services. + New Client Installations: Lead onboarding and… more
- AmeriHealth Caritas (Baton Rouge, LA)
- …+ Medicare and or Commercial experience is required. + Extensive knowledge of claims processing /billing is a plus. + Demonstrated experience with payment ... channels with internal stakeholders, including but not limited to Claims Operations, Medical Management, Credentialing, Legal, Analytics departments, Compliance,… more
- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... as (but not limited to) website navigation for entering sales and claims , understanding program guidelines, procedures, and overall general support for all programs.… more
- LCEC (North Fort Myers, FL)
- …liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing , broker relationships, and cost analysis + Manage ... management skills (Required) + Experience working with insurance markets and claims processes. (Required) + Knowledge of risk assessment methodologies, internal… more
- State of Massachusetts (Boston, MA)
- …mail, phone, internet, live chat, and in-person. The CSR is responsible for processing claims , issuing prize payments, operating MSLC terminals, selling tickets ... and reconciling sales daily. *ESSENTIAL FUNCTIONS* * Process customer claims for winning tickets of all games and generate...games and generate prize payments by following MSLC Standard Claims Guidelines * Sell tickets for all Lottery games… more
- Illumination Foundation (Santa Ana, CA)
- …information Risk Management/Compliance + Assist HR Business Partner in managing Worker's Comp claims and requests + Processing all workers compensation claims ... and deadlines. + Partner with HR Business Partner on Workers' Compensation Claims . + Respond and prepare all documents for employee leaves of absence/accommodations.… 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
- 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
- UnityPoint Health (Des Moines, IA)
- …+ Responsible for decision making to improve and impact charge issues, complex claims processing workflows and regulations + Provides expert consultation to ... large amounts of data + Demonstrated decision making as it relates to processing , reconciling, and ensuring the accuracy of revenue and charge activity + Knowledge… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …and interpersonal skills; f. Comprehensive knowledge of third-party insurance plans and claims processing ; g. General knowledge of pharmacy benefit managers and ... clinic and office staff with information pertaining to the filling, processing , reimbursement, payment, and assistance with the provision of specialty… more
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