- Highmark Health (Buffalo, NY)
- …and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Elevance Health (West Des Moines, IA)
- …and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . Proficient in all basic customer service areas performs some but ... **Locations** : Illinois In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...laws. * The salary range is the range Elevance Health in good faith believes is the range of… more
- Elevance Health (Norfolk, VA)
- …is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital ... the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first. The **Account Service Manager, Sr,**… more
- Elevance Health (Latham, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...laws. * The salary range is the range Elevance Health in good faith believes is the range of… more
- Great River Health (Mount Pleasant, IA)
- …provides education, application assistance, and follow-up for programs such as the Health Insurance Marketplace, Medicaid, and other health insurance options. ... outreach initiatives, educate patients, and increase access to affordable health insurance coverage. The Coordinator supports staff training, stays informed… more
- Dignity Health (Bakersfield, CA)
- …+ Experience in marketing, sales or customer service in a health care setting required.Strong business acumen, customer service skills, follow-up, organizational ... third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed… more
- Atlantic Health System (Summit, NJ)
- …Schedules and coordinates appointments. 3. Accurately updates and maintains patients' health records. 4. Verifies insurance coverage and assists the billing ... department with processing claims . 5. Communicates test results to patients when directed...physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price,… more
- CVS Health (Dover, DE)
- At CVS Health , we're building a world of health...+ May assist in the research and resolution of claims payment issues - Supports the administration of the ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...transforming health care. As the nation's leading health solutions company, we reach millions of Americans through… more
- Elevance Health (Atlanta, GA)
- …+ Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits, clinical decisions, ... and Experience:** + Certified Professional Coder-AAPC Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Elevance Health (Murfreesboro, TN)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more