- Insight Global (Robinson, PA)
- …Skills and Requirements 1+ year of Pharmacy Benefits experience - processing claims , triaging denials, verifying benefits 1+ year of ... to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims , triaging rejected claims , and verifying benefits. Prior Pharmacy… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Identifies claims and provider reimbursement related system problems, including claims coding and processing issues, coordinates research, audit, and ... new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well… more
- Robert Half Finance & Accounting (NJ)
- …service failures across the supply chain. This role ensures timely and accurate processing of claims , maintains compliance with carrier agreements, and provides ... Description Position Summary: The Logistics Claims Specialist is responsible for managing and resolving...detail, and experience in logistics operations. Key Responsibilities: + Claims Management: + Investigate, file, and track freight … more
- Humana (Concord, NH)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is… more
- Corewell Health (Kentwood, MI)
- …volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing , and/or managed health care. + 1 year of ... relevant experience Revenue Cycle. How Corewell Health cares for you + Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) . + On-demand pay program… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. **Must have at least one year of healthcare call center customer service experience** **Experience working with the… more
- Radiant Digital (Richmond, VA)
- …must describe experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. The candidate ... will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. We do not use API's. To ensure success as a… more
- COOLSOFT (Richmond, VA)
- …must describe experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. The candidate ... will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. To ensure success as a C# developer you… more
- US Tech Solutions (Mount Pleasant, SC)
- …office notes, pre-authorizations, hospital documents, etc. + Ensure charges drop for claims processing . Work closely with practice coder in resolution process. ... Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary. + Teamwork and… more
- Kuehne+Nagel (Raleigh, NC)
- …(order fulfilment, Transport Management, Request and Deviation Management, Visibility and Monitoring, Claims Processing ) + Receive & respond in time to requests ... from relevant stakeholders (such as customer requests) + Adheres to and complies with all health & safety, quality, security, environmental, legal and regulatory requirements, company policies and procedures. + Participate in quality audits related to general… more