- SpartanNash (Byron Center, MI)
- …specialists. Each of them plays an integral role in SpartanNash's **People First ** culture, Operational Excellence and Insights that Drive Solutions. Ready to ... and compliant programs. Develop relationships with associates, consultants and third- party administrators and vendors. Responsible for responding to benefit-related… more
- Truist (Wilson, NC)
- …to. Assist in the management of bankruptcy cases by: * Ensure Proofs of Claim are filed accurately and timely. * Prepare reaffirmation agreements as appropriate. * ... internal departments. Appropriately and accurately take calls and interpret client/third party needs. Complete tasks adhering to internal and bankruptcy guidelines.… more
- Walgreens (Bristol, TN)
- …party pharmacy systems and procedures to lessen payment rejections. Resolves third- party rejection problems promptly and resubmits rejected claims for payment ... pharmacy department systems and equipment. + Maintains awareness of third- party pharmacy business opportunities and assures proper administration and implementation… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …Responsibilities What You will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services ... and medication adherence. Based on volume, may also process claims and/or may answer phones. + Refers requests for...+ Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus) + Will be trained to… more
- UPMC (Pittsburgh, PA)
- …flexibility after training Responsibilities: + Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate ... diagnostic/procedure billing codes, in compliance with third party payer requirements. + Monitor billing performances to ensure optimal reimbursement while adhering… more
- Pilgrim's (Gainesville, GA)
- …for claims in litigation, and assist the Occupational Health Nurse/Third Party Administrator in effectively managing all open claims . + Provide training ... which means the safety of our team members comes first - always. This position will be responsible for...that builds a team atmosphere within the safety and medical areas of the site. + Spend time being… more
- St. Luke's University Health Network (Allentown, PA)
- …a cc ounts in their areaas upon reque st. + Stays abreast of third- party medical policies and authorization requirement changes. + Maintains relationships and ... to e nsure pr op erre imburs e ment. + Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure… more
- Devereux Advanced Behavioral Health (Braddock, PA)
- …laws and regulations. This will include processing enrollments, changes, and claims related to benefits (including unemployment and workers' compensation claims ... in advancing your career?** Devereux is proud to offer ASCEND - the first career accelerator program exclusively designed to give behavioral healthcare workers - the… more
- WellSpan Health (York, PA)
- …+ Coordinates scheduling of appointments, communication, and documentation in the electronic medical record and processing of forms for injured workers at the ... level of patients and referral sources + Serves as liaison between medical providers and injured workers for coordination of care to expedite appropriate… more
- Byline Bank (Chicago, IL)
- …in their roles. If you're looking for a career with a company that puts people first and makes a difference in the communities we serve, Byline Bank is the place for ... items such as large checks, duplicates, ACH returns, and chargebacks. + Handle claims for forged checks and check adjustments. + Monitor and resolve outstanding… more