- CVS Health (Nashville, TN)
- 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 ...prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches… more
- UNC Health Care (Chapel Hill, NC)
- …inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. **Summary** : The ... loss prevention/control and compliance with state, federal guidelines and UNC Health standards. The primary responsibility of this position is to administer… more
- Fallon Health (Norwood, MA)
- **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually...outstanding single case agreements, out of network agreements, or claims issues flagged by BHCMs, members directly, or other… more
- Carle Health (Champaign, IL)
- …healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims , fraud cases and attorney requests, etc. Handles escalated appeals. ... - and opportunities meet flexibility. Find it all at Carle Health . Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in… more
- Elevance Health (Mason, OH)
- …an impact:** + Interprets and supports plan benefit design. + Resolves complex claims , benefit, and enrollment issues. + Makes routine account visits. + Coordinates ... Locations: Illinois, Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,..._._ * The salary range is the range Elevance Health in good faith believes is the range of… more
- Elevance Health (Miami, FL)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... courses preferred. + Risk rating experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Carle Health (Normal, IL)
- …Systems experience (preferably EPIC) with registration, eligibility, collections, and billing/ claims . + Ability to successfully manage department with multiple ... - and opportunities meet flexibility. Find it all at Carle Health . Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in… more
- Elevance Health (Macon, GA)
- …implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties primarily in the ... being done telephonically. This position does involve traveling to attend health plan-sponsored events, individual and group presentations. This position does not… more
- Mount Sinai Health System (Elmhurst, NY)
- …information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures ... Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where...next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is… more
- CVS Health (Springfield, IL)
- 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