- NJM Insurance (Trenton, NJ)
- …plans . This position is Hybrid requiring 3 days in the office and 2 days remote . There is flexibility to be based in Hammonton or West Trenton . Essential Duties ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Humana (Oklahoma City, OK)
- …determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front line relationship management for ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Cognizant (Boston, MA)
- …flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of ... a healthy work-life balance through our various wellbeing programs. **Location:** Remote (Work-from-Home) **Shift** : Monday to Friday 8:00am to 4:30pm Easter… more
- US Anesthesia Partners (New York, NY)
- …with applicable safety rules and standards, and to allow an authorized Company representative to inspect the Remote Location as needed. WORKERS' COMPENSATION: ... include proper record maintenance. + Assists in responding to unemployment claims and/or employment verifications as needed. + Facilitates and/or provides training… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …SpecialtyRx is a full-service pharmacy. We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... to train for 3 weeks onsite with the potential in going remote . Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch and we will be glad to… more
- Humana (Frankfort, KY)
- …The Provider Engagement Professional, also known as a Provider Relations representative , works within specific guidelines and procedures, applies technical knowledge ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Transdev (Minneapolis, MN)
- …accidents. * Collect data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians or other drivers. ... quality assurance inspections such as post-accident and post employee claims , injury inspections and monitoring. * Participate in compliance...the job is performed outside, work alone and in remote locations. + Sit for extended periods (up to… more
- State of Colorado (Denver, CO)
- …up pharmaceuticals and paperwork from the units, process Medicare Part D claims , coordinates pickup and removal of pharmaceutical wastes with vendor, answering ... to treatment units, fill prescriptions, process Medicare part D claims , and issue pharmaceutical credits back to clients: +...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Chenega Corporation (Rockville, MD)
- …contact and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program ... compensation programs, or managed care. + Professional Background: Relevant experience in claims review, healthcare administration, or related fields. + A minimum of… more
- ProSmile (Oak Park, IL)
- …and excel at multi-tasking. This role is in-office, with the option of 1 remote day per week! Duties and Responsibilities The duties include, but are not limited ... to: + Audit charts + Submit claims + Enter insurance payments + Follow up on...Demands and Work Environment The physical demands described are representative of those that must be met by an… more