- Otsuka America Pharmaceutical Inc. (GA)
- …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more
- AbbVie (North Chicago, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Purpose The HRConnect Senior Benefits Specialist is a key part of AbbVie's Human Resource (HR) Operations ... group supporting the HRConnect delivery model. The HRConnect Senior Benefits Specialist is responsible for supporting US benefits and leave administration, including… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- Woodforest National Bank (The Woodlands, TX)
- …the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated by ... banks policies and procedures. Key Responsibilities: . Research customer dispute claims by reviewing card transactions, account records and information provided by… more
- Elevance Health (Waukesha, WI)
- …and Experiences:** + Prior call center experience strongly preferred. + Medical claims processing experience preferred. + Proficiency with Microsoft Office ... **Recovery Specialist Associate** **Location:** _Hybrid1:_ This role requires associates...under general supervision. Performs all authorized duties in the processing of overpayments allocated to the assigned market consistent… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …In this role, you will play a vital part in maintaining accurate records, processing claims , and ensuring timely communication with insurers and patients. This ... Description We are looking for an Accounts Receivable Specialist to join one of our healthcare clients...commitment to delivering excellent service. Responsibilities: * Review denied claims and apply current coding and billing practices to… more
- University of Southern California (Newport Beach, CA)
- …medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req Fire Life Safety Training ... The Clinical Authorization Specialist will take the lead in securing medical...needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +… more
- Otsuka America Pharmaceutical Inc. (Chattanooga, TN)
- …of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital ... and the approved conditions they treat. The Neuroscience LTC Specialist will report directly to the respective Area Business...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Molina Healthcare (Bowling Green, KY)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more