- The Hershey Company (IN)
- …(No Remote) * Job Summary:* Reporting to the EHS manager, the Occupational Health Nurse will provide professional and comprehensive health , wellness, safety ... and advocate for both the employee and the company to support holistic health , safety, and wellbeing. * /General Responsibilities/* * Ensure compliance with legal… more
- Travelers Insurance Company (Wyomissing, PA)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...training program. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- TEKsystems (West Des Moines, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... that will work mostly with clients on workers comp, health screening, etc. Previous occupational health physician...would be huge for this role! Will be bulk claims and denial work - no patient calling. -… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Huron Consulting Group (Chicago, IL)
- …seamless integration with Facets. + Configure and optimize **Facets** to support claims processing and business requirements. + Analyze, design, and implement ... Claims Edit System)** . + Strong understanding of ** claims processing and adjudication** in a healthcare...Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- AnMed Health (Anderson, SC)
- …ensure effective employee communications, timely enrollments, ACA compliance, and efficient claims processing . RESPONSIBILITIES * Manages the Americans with ... the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and… more
- CVS Health (Plymouth, MN)
- …role is critical in ensuring accurate plan setup, compliance, and seamless processing across Customer Service, Claims , Enrollment, Billing, and Reporting ... At CVS Health , we're building a world of health...interpret, and configure plan benefits for online viewing and processing . + Utilize Meritain's proprietary system to perform analytical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims , and the ... for employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor experience with a… more