- Open Mind Health (NC)
- …SPECIALIST LOCATION: REMOTE REPORTS TO: CHIEF OPERATING OFFICER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit experts who provide ... and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more
- Highmark Health (Dover, DE)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …payments. Role includes time management and accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit ... the management of the Finance Manager, the Financial Analyst carries out processing and financial administration for the assigned contracts. Responsible for the… more
- Adecco US, Inc. (San Juan, PR)
- …specifically in a complex and high-volume environment * Previous experience in claims processing and/or case management, particularly in Social Security, is ... is a dedicated practice specializing in Social Security Disability claims . Our mission is to provide compassionate, expert assistance...worked in one day * Comprehensive benefits to include health insurance, dental insurance, LTD * Paid time off… more
- Sedgwick (Southfield, MI)
- …+ Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and/or strategic planning. + ... for members and trainings, and coordinates with pool administrator on cases, claims , and messaging. + Oversees the pool's liability program. + Represents the… more
- Catholic Health Services (Centereach, NY)
- …in Epic or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems ... Overview Catholic Health is one of Long Island's finest ...related experience Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable Experience with 340B… more
- Nuvance Health (Danbury, CT)
- …Capture preferred. i? 1/2In depth knowledge of electronic data interchange and claims processing , third party payer rules, reimbursement practices and regulatory ... maintaining the Charge Description Master (CDM) for all Nuvance Health entities, including but not limited to, 7 hospitals...the Charge Integrity Audit Team by running reports and processing changes. Works closely with the CDM Analyst. 11.Maintain… more
- Cardinal Health (Nashville, TN)
- …preferred. + Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a ... a medical practice. Benefits Eligibility and Authorization verify patient specific health benefits. Directly supporting cCare, the largest private oncology practice… more
- Health Advocates Network (Rensselaer, NY)
- …and goals, availability of funds, and appropriateness of rates and submitting those claims for payment; processing and submitting all orders via SFS; managing ... Health Advocates Network is currently seeking a **Receptionists/Secretaries**...limited to: preparing monthly bureau activity reports; reviewing vendor claims for fiscal and programmatic correctness, adherence to state… more
- BrightSpring Health Services (Little Rock, AR)
- …is responsible for coordinating and supporting initiatives relative to the evaluation, processing , and handling of insurance claims . This position will also ... communication with insurance companies, patients, providers, and other staff + Review claims to ensure reimbursement requirements are met + Verification of patient… more