- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Citizens (Glen Allen, VA)
- …in a manner that protects our ability to file and collect investor/insurer Claims . Specialist will assist with all facets of Investor Operations to include ... Claims , Invoice Processing, Corporate Advance, General Ledger Reconciliation and...regard to age, ancestry, color, citizenship, physical or mental disability , perceived disability or history or record… more
- Actalent (Boston, MA)
- …and denial management workflows. Key Responsibilities: + Review and analyze outstanding claims from the legacy system. + Identify and categorize denials by type ... appeals to insurance companies. + Follow up on appealed claims to ensure resolution and payment. + Document all...for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits… more
- TEKsystems (Honolulu, HI)
- Description Key Responsibilities + Claims Auditing: + Reviewing medical claims to verify accurate coding, correct benefit payments, and adherence to contract ... policies. + Issue Resolution: + Investigating and resolving discrepancies in claims payments and identifying underlying system or benefit inaccuracies. + Compliance… more
- Trinity Health (Boise, ID)
- …Supervisor, Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and completes forms to ensure accuracy. ... + Accesses information and translates data into information acceptable to the claims processing system. + Prepares claims for return to provider/subscriber if… more
- Logan Health (Kalispell, MT)
- …and account activities. This role involves managing medical billing, collections, claims research, and delivering excellent customer service to ensure a smooth ... What You'll Bring + Minimum 1 year experience in claims , billing, and collections; 2 years in a business...insurance + 401(k) with employer match + Life and disability insurance options + Employee assistance program (EAP) +… more
- Aston Carter (Naperville, IL)
- …+ A minimum of a year of office experience in data entry, dispatchers, claims , or provider relations. (Open to entry level Bachelor's Degree candidates as well). + ... This position is responsible for the review, investigation, and evaluation of claims to determine eligibility and negotiate resolutions in compliance with all… more
- Trinity Health (Ann Arbor, MI)
- …Billing Assistance + Drug card billing for home infusion pharmacy patients, troubleshoot claims rejections, finalize and adjust drug claims for submission. + ... on service. + Process any required third party billing claims in Towers Pharmacy program and coordinate with home...Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability + Retirement savings plan with employer match and… more
- USAA (San Antonio, TX)
- …collect and analyze data. **What sets you apart:** + 5 yrs of P&C Claims experience + Direct experience with Change Management process, understanding the nature of ... to apply systems-thinking/big-picture thinking to deliver results. + Experience in Multiline Claims Operations and/or Optimization Experience in P&C Claims . +… more