- Essentia Health (Superior, WI)
- …assigned Required Qualifications: + 1 year experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in a coding ... pharmacies, third parties, and software vendors to work through claims adjudication and processing issues to ensure...2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care role… more
- Avera (Sioux Falls, SD)
- …denied claims . + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + Communicates with internal and ... the claims resolution process to ensure timely claims processing .) Identifies the need to rebill...other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to… more
- Grant PUD (Ephrata, WA)
- …and processing within the District's self-insured retentions, reporting larger claims to insurers and providing coordination of claim details between adjustor, ... Enterprise Risk Management (ERM) program, including responsibilities in enterprise risk, claims management, and insurance program support. It also contributes to the… more
- Sysco (Portland, OR)
- …governmental specifications. Utilize email and electronic monitoring system to submit claims to suppliers on products not meeting product specifications. Follow up ... with suppliers on claims . Work closely with FSQA, Merchandising and/or Accounting Department...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Transdev (Phoenix, AZ)
- …in accordance with company policy and within the parameters established by the manufacturers. Claims need to be filed in a timely manner. + Performs periodic audits ... of maintenance systems to ensure claims are getting flagged for potential warranty. Reports discrepancies...partnership with the technical team to ensure the timely processing of recalls and campaigns. + Work closely with… more
- Tidelands Health (Murrells Inlet, SC)
- …in a timely manner. The PFS-FC is responsible for reviewing insurance processing for accuracy, reviewing patient statements to determine if payment and adjustments ... related to financial assistance, billing record requests, and insurance processing . Meet with patient or contact patient to confirm...team members for review of denials and/or rebilling of claims related to revision of order for services. +… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... DUTIES/RESPONSIBILITIES: * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate… more
- Pfizer (Memphis, TN)
- …cycle time delays. + Sales Order Management (SOM) transactional responsibilities include processing EDI orders, process claims for shipping exceptions, provide ... for Pfizer's product line, and works to quickly resolve any distribution related claims . Position handles incoming calls and request from customers which require the… more
- North Carolina State University (Raleigh, NC)
- …medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing , and the policies and contracts of ... patients; obtaining and providing the clinical documentation necessary for claims processing , such as x-rays, chart notes,...are welcome to contact ### to speak with a representative of the Office of Equal Opportunity. If you… more