- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you an architect of interconnected data, driven by the belief that relationships hold the key ... network of patient journeys, disease progressions, and treatment efficacy? Highmark Health is seeking a groundbreaking Lead Data Scientist, Research & Development,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care… more
- Mass Markets (ND)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... as a trusted partner in the industry. We are seeking a Spanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will be responsible… more
- UnityPoint Health (Urbandale, IA)
- …verify benefits and obtain authorization for specialty medications. + Processes test claims of health system's specialty pharmacy prescriptions through pharmacy ... received by the Specialty Pharmacy including data entry, insurance processing , and prior authorization completion for specialty medications. Understands pharmacy… more
- Walmart (Plainfield, IN)
- …Central Fill Pharmacy is a specialized type of pharmacy that focuses on processing and dispensing of prescriptions for multiple retail pharmacy locations within a ... by entering and modifying pharmaceutical data on system and forms; processing and submitting paperwork; creating and maintaining documentation (for example, files,… more
- Walmart (Plainfield, IN)
- …with pill cell performance; identifying and properly discarding hazardous waste; processing recalled and expired pharmaceuticals; and disposing or processing ... by entering and modifying pharmaceutical data on system and forms; processing and submitting paperwork; creating and maintaining documentation (for example, files,… more
- Fair Haven Community Health Care (New Haven, CT)
- …Fair Haven prides itself on efficient billing services including the filing of claims , appeals processing , authorizations, and, above all, a great passion for ... Fair Haven Community Health Care FHCHC is a forward-thinking, dynamic, and...review and encounter posting + Prepares and submits clean claims to various insurance companies either electronically or by… more
- Cardinal Health (Nashville, TN)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... billing system according to departmental procedures. + Follow up on unpaid claims within payer-specific guidelines and timelines. + Coordinate with other billing… more
- Covenant Health Inc. (Knoxville, TN)
- …appropriate structure for key function areas in the business office such as claims processing , payment posting, and payer specific third-party follow-up and ... Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with… more
- Henry Ford Health System (Detroit, MI)
- …Process and coordinate the resolution of assigned work queues in Epic to assist in the processing of claims . + Serve as a resource to inform patients and their ... including areas such as hospitalization, professional services, pharmacy, home health , rehabilitation, DME and organ procurement limitations. + Coordinate the… more