- CareFirst (Baltimore, MD)
- …Angular. + Experience working with core Facets modules such as claims , membership, provider, and billing. + Proficiency with Facets batch jobs, schedules, and ... integration, configuration, and performance of core payer functions like enrollment, claims , billing, and customer service. Focuses on building robust custom… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a call center or claims processing). + Medical call center or medical claims experience preferred. + Quality Control or Quality Assurance experience is ... developers, program strategists and more-all with one vision. Each perspective and experience makes ConnectiveRx better than the sum of its parts. Under direct… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …degree, an associate 's degree or LPN with a minimum of two (2) years' experience in long term care claims adjudication and two (2) years long term care ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...promotional opportunities. Level I: + Three (3) years combined experience in insurance and/or a clinical setting. + Active… more
- Zurich NA (Sacramento, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate. + Ensure ... a technical resource by providing guidance and mentoring lower level attorneys or legal support staff on use of tools and resources and legal strategies. + Protect… more
- BD (Becton, Dickinson and Company) (Sandy, UT)
- …customer personas, insights, brand positioning statements, benefit ladders, and differentiated claims , to support launches, drive adoption, and accelerate growth ... development and execution of strategic product marketing plans and deliverables that support the platform's marketing and business objectives. This role requires a… more
- Humana (Juneau, AK)
- … experience + Experience working inside a pharmacy + Process improvement experience + Pharmacy claims experience **Additional Information** As part of ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (San Juan, PR)
- …Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience + Experience in data analysis and trend ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Guidehouse (St. Paul, MN)
- …Integrity Coding and Billing + Hospital medical billing and auditing experience + Associate 's degree\#IndeedSponsored\#LI- Remote #LI-DNI The annual salary ... Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- … in Disputes, Fraud, Banking, or a related field preferred. + Associate 's degree or equivalent work experience . + Strong analytical, problem-solving, ... previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The… more
- Florida Crystals Corporation (Baltimore, MD)
- …well as relevant consensus standards (eg, ANSI, NFPA). + Workers' Compensation Claims Management Experience . + Return-To-Work Program Management Experience . ... consensus standards. + Provide relevant content and subject matter expertise to support : + Required safety related training + Effective implementation of safety… more