- Molina Healthcare (Omaha, NE)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Travelers Insurance Company (Morristown, NJ)
- …resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- 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
- AON (Alpharetta, GA)
- Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as...#LI-AM4 2569926 Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will… 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
- Trinity Health (Ann Arbor, MI)
- …Type:** Part time **Shift:** Day Shift **Description:** **Pharmacy Tech Specialist - Home Infusion** **Department:** Home Infusion **Location:** Trinity Health ... drug inventory. Performs all job functions of the Pharmacy Technician Specialist as needed/appropriate for the Home Infusion Pharmacy department. Performs pharmacy… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... adjudication of claims under the supervision of a licensed pharmacist. This...Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- Kaniksu Community Health (Sandpoint, ID)
- …accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven role, you'll manage ... and optimize all phases of the revenue cycle-including billing, claims submission, denial management, and patient account follow-up. You'll work closely with both… more
- Woodforest National Bank (The Woodlands, TX)
- …of one of the largest employee-owned banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute ... claims , and Stop Payments, initiated by customers or on...Disability and Veterans. **Job:** **Operations* **Organization:** **Texas - Houston* **Title:** *Dispute Specialist I* **Location:** *Texas-The Woodlands* **Requisition ID:**… more