- 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 ...resolution of member issues. + Handles reviews of prior claims to address potential impact on current case management… more
- Mille Lacs County (Milaca, MN)
- …year unless there is a qualifying life event. All funds must be used by claims deadline. FSA Medical/ Health max election of $3,050 per year Limited Purpose FSA ... for the county including, but not limited to, reviewing invoices/ claims to be paid for accuracy and adherence to...for accuracy and adherence to policy and procedures; entering claims into the financial system; processing payments, issuing checks… more
- The Croghan Colonial Bank (Oak Harbor, OH)
- …title collateral thru communication with Insurance company and customer. + Process accident and health insurance claim forms and death claims . + File Estate ... Claims with Attorney by researching at County Probate Court and monitoring process. + File "Small Claim" complaints through the bank's legal counsel. + Complete charge-off accounts entries as approved during Loan Delinquency Meeting each month. + Organize… more
- BronxCare Health System (Bronx, NY)
- …consistent with maintaining and furthering a positive publicperception of BronxCare Health System and its employees. 2. Describe responsibility:Contributes to and ... collection, analysis, implementation of and compliancewith risk management and claims activities, support of and participationin Continuous Quality Improvement (CQI)… more
- Defense Health Agency (Norfolk, VA)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... individuals with a wide range of chronic medical conditions, and behavioral health issues affecting medical conditions to include assessment and disposition of… more
- Independent Health (Buffalo, NY)
- …primarily responsible for completing the billing of both pharmacy and medical claims and adjudicating rejections. **Qualifications** + High school diploma or GED ... Rx Operations & Compliance department. + Experience working with online claims processing system preferred. + Effective oral and written communication skills… more
- Sanford Health (Fargo, ND)
- **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many ... members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Sanford Broadway Med Bld **Location:**… more
- TEKsystems (West Des Moines, IA)
- …strong understanding of the full revenue cycle and be comfortable navigating complex claims processes using multiple data sources. **CANDIDATES MUST RESIDE IN IA OR ... Stop Bills, and "DNBs" to ensure timely claim submission. + Accurately transmit claims daily and ensure all required documentation is included. + Verify eligibility… more
- Molina Healthcare (Hartford, CT)
- **Job Description** **Job Summary** Molina Health Plan Operations jobs are responsible for the development and administration of State Health Plan's operational ... * Under the leadership of the Plan President, this role directs and coordinates Health Plan Operations. * Accountable for ensuring Health Plan Operating metrics… more
- The Cigna Group (Raleigh, NC)
- **Overview** A career within Forsyth Health 's Data & Analytics team will provide you with the opportunity to help Pharma/Life Science organizations uncover patient ... and market insights. At Forsyth Health , we focus on a collection of data management,...+ Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify populations… more