- Dartmouth Health (Lebanon, NH)
- …prescription orders and prepares prescriptions for verification by a pharmacist. * Processes third party claims . * Assists in the call center, with mail order, ... participate in Dartmouth Health benefit plans on the employee’s first day of employment. Medical Insurance:Two medical plans available through Anthem BC/BS:… more
- Carle Health (Champaign, IL)
- …system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance (TM) . We offer ... companies, attorneys, public agencies, internal departments, employers, and third party payers. Responsible for reviewing and calculating pre-determinations and… more
- The County of Los Angeles (Los Angeles, CA)
- …Position/Program Information EXAM NUMBER U9206X TYPE OF RECRUITMENT Open Competitive Job Opportunity FIRST DATE OF FILING August 21, 2023, at 8:00 am (PT) This ... and arbitrations. Advises County departments and County-related agencies in supervising third- party or outside counsel, representing the County's interests in labor… more
- Dignity Health (Bakersfield, CA)
- … party administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care ... more years of account management experience working with a medical group or IPA in a managed care environment....powered by local human resources that put patient care first . Dignity Health MSO offers an outstanding Total Rewards… more
- Southland Industries (Garden Grove, CA)
- …and brokers to evaluate self-insured program performance, stop-loss coverage, and claims experience. + Ensure compliance with federal and state regulations including ... & Employee Support** + Maintain strong relationships with brokers, carriers, and third- party administrators to ensure quality service delivery. + Assist with open… more
- Carle Health (Champaign, IL)
- …system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance (TM) . We offer ... from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined… more
- Owens & Minor (West Valley City, UT)
- …Education and/or Experience: High school diploma or equivalent; Experience in Third Party Claims processing; Knowledge in pharmacy operations and products ... our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first... Medical , dental, and vision insurance, available on first working day + 401(k), eligibility after one year… more
- University of Michigan (Ann Arbor, MI)
- …the essential functions of their positions. + Conduct a second-level review of third- party medical documentation submitted by employees to assess whether it is ... for this position and should be attached as the first page of your resume. The cover letter should...the candidate may assist the ADA Coordinator in resolving claims of disability discrimination, harassment, and retaliation, including holding… more
- Walmart (Ogden, UT)
- …price comparisons of parts equipment and travelrelated expenditures Submits warranty claims Completes and submits forms for example expense vouchers weekly summaries ... transparent Serve our Customers and Members Delivers results while putting the customermember first and applying an omnimerchant mindset and acts with an Every Day… more
- St. Luke's University Health Network (Allentown, PA)
- …JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits to include reviewing medical record documentation for completeness and accuracy to support billed claims ... the professional service documentation and coding audits of both office and in-patient medical records. + Maintain and record audits in Excel spreadsheet format and… more