• Account Representative II…

    AdventHealth (Altamonte Springs, FL)
    …appropriately reconcile patient accounts. This position resolves and resubmits rejected claims , processes daily and special reports, and reviews previous account ... administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims . + Communicates consistently with team members to foster a… more
    AdventHealth (09/16/25)
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  • RN Utilization Review

    Sedgwick (Dayton, OH)
    …clinical practice knowledge + Knowledge of the insurance industry and claims processing + Excellent oral and written communication, including presentation skills ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
    Sedgwick (09/16/25)
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  • Managed Care Client Services Director - Remote

    Sedgwick (Birmingham, AL)
    …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
    Sedgwick (09/16/25)
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  • (USA) Pharmacy Tech Sam's

    Walmart (Cicero, IL)
    …area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to inventory that is… more
    Walmart (09/16/25)
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  • Major Case Unit Adjuster

    U-Haul (Phoenix, AZ)
    …Case Unit (MCU) supervisor, you will be responsible for managing a desk of claims that are taken over by MCU for affirmative litigation. Must have excellent verbal ... letters regarding coverage + Settling 1st & 3rd party claims using evident fraud as needed + Work closely...race, color, religion, sex, national origin, physical or mental disability , veteran status, or any other basis protected by… more
    U-Haul (09/16/25)
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  • Billing & Reimbursement Representative…

    The Cigna Group (Indianapolis, IN)
    …. In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect ... payment on outstanding claims in pursuit of reducing the company's accounts receivable....will be considered without regard to race, color, age, disability , sex, childbirth (including pregnancy) or related medical conditions… more
    The Cigna Group (09/16/25)
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  • Accounting/Billing Specialist

    Adecco US, Inc. (Hopkinsville, KY)
    …to review and evaluate patient accounts including posting charges, submitting insurance claims , working denied claims and posting payments into Meditech ... year experience with Medicare, Medicaid/Managed Care Insurance/third-party billing procedures. claims and posting insurance remittances. Electronic medical records system.… more
    Adecco US, Inc. (09/16/25)
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  • Manager Provider Network Management

    AmeriHealth Caritas (Detroit, MI)
    …provider satisfaction, streamline processes, and enhance electronic strategies for claims and auto-adjudication. **Work Arrangement:** + Hybrid -This role requires ... all provider contracts. + Implement electronic strategies to enhance claims submission and auto-adjudication processes. **Provider Recruitment, Retention, &… more
    AmeriHealth Caritas (09/16/25)
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  • Supervisor, Government Programs

    Independent Health (Buffalo, NY)
    …experience in Medicare operations (enrollment, benefit administration, and/or claims payment/reimbursement methodology) required. EGWP PDP administration preferred. ... responsibilities required. + Experience processing online Medicare Part D claims or implementing government policy related to Medicare/Medicaid, including regulatory… more
    Independent Health (09/16/25)
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  • Executive Mgtmt Director-Exec Mgt

    Michigan State University (East Lansing, MI)
    …externally contracted risk management services including insurance brokerage, actuarial, claims administration and information technology. + Negotiate on behalf of ... parties; provide interpretation of technical insurance policy language. + Manage claims involving University-owned tangible property; advocate for the University to… more
    Michigan State University (09/16/25)
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