- Elevance Health (Grand Prairie, TX)
- …to false claims strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... active unrestricted medical license to practice medicine or a health profession. + Clinical training and practice as a...with Elevance Health . Any unsolicited resumes, including those submitted to hiring… more
- CVS Health (Frankfort, KY)
- …is responsible for managing the pharmacy benefit program offered by the health plan. This includes benefit set-up, claims processing, contractual oversight, ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Elevance Health (Winston Salem, NC)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Henry Ford Health System (Detroit, MI)
- …surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims , and cause loss to the health care system. The QRS II ... collaborates with multidisciplinary health care teams to reduce and prevent adverse medical...duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Elevance Health (Washington, DC)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... make an impact:** + Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care… more
- Atlantic Health System (Morristown, NJ)
- …identified documents. + Gathers all documentation from visits and submits to the claims ' adjusters and nurse case managers as required. + Fields medical records ... to maintain good relationships with insurance carriers and Atlantic Health System. + Facilitates all adjuster and nurse case...are followed. May require travel. + Works alongside Corporate Health and Managed Care to assist in any other… more
- CVS Health (Columbus, OH)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...+ May assist in the research and resolution of claims payment issues. Supports the administration of the hospital… more
- Trinity Health (Albany, NY)
- …in the Capital Region this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. **Position Highlights:** + ... room, takes appropriate vital signs and documents all necessary health information into the electronic medical record. + Responds...Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties… more
- Scripps Health (San Diego, CA)
- …San Diego or willing to relocate and willing to work weekends.* *Why join Scripps Health ?* At Scripps Health , your ambition is empowered and your abilities are ... a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a...professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting… more