- TEKsystems (Virginia Beach, VA)
- …part of a major implementation project. As they integrate their Medicaid and commercial lines of business, this person will be responsible for member fulfillment ... organizational initiatives and should demonstrate an extensive expertise in the claims platform and all interfacing applications, both customized and packaged. This… more
- WMCHealth (Poughkeepsie, NY)
- …link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… more
- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and identification and mitigation of Quality risks from development through commercial registration and product distribution. **Job Description** + This critical ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- The Estee Lauder Companies (Melville, NY)
- …assisting with all matters pertaining to Sales & Use Tax, Property Tax and Commercial Rent Tax, as well as FAS 5 related matters. **Overall Job Description:** ... Sales & Use Tax including overseeing and managing all aspects of audits, claims for refunds, etc. Negotiate optimal settlements on audits, identify sales tax… more
- Walgreens (Deerfield, IL)
- …for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound ... reviews FDA guidelines, and prior authorization requirements to ensure payment of claims . + Resolves questions and problems submitted by customers and Major Medical… more
- AIG (New York, NY)
- …Office, Operations, Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims , Regulatory and Legal to share insights and best practices ... in close collaboration with all regional business leaders, Legal, Claims , Actuarial, Filing/Regulatory, Claims , and ERM. +...International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of… more
- Stanley Black and Decker (Miramar, FL)
- …Maintain accurate and organized records of all outbound shipments and associated documentation. ** Claims Review** + Review and validate claims submitted at the ... required documentation, or corrective actions + Notify approvers of pending claims and required actions **Export Documentation** + Prepare, review, and provide… more
- Zurich NA (Schaumburg, IL)
- …bill litigation, research, and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and participate in any ... sharing technical knowledge. + Protect Zurich's reputation by keeping claims information confidential. + Maintain professional certifications and technical knowledge… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …reimbursement for clinical services rendered to beneficiaries of health plans, including Commercial and Government Clients. The OP Coding Auditor is charged with ... in the identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services,… more