- CVS Health (Trenton, NJ)
- …levels + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing , Provider Appeals & Disputes and Network Performance ... At CVS Health , we're building a world of health...internal staff and aligns Network functions with Operations and Claims as needed. + Collaborates with internal partners to… more
- Covenant Health Inc. (Knoxville, TN)
- …Oncology Group Overview: As a member of Covenant Health (http://www.covenanthealth.com/) and Thompson Cancer Survival Center (http://www.thompsoncancer.com/) , ... timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims . Works with financial services for timely resolution of delayed … more
- Orlando Utilities Commission (Orlando, FL)
- …be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement. ... activities. + Collaborate with internal teams and vendors to ensure accurate processing , reporting, and compliance. + Support open enrollment, new hire orientations,… more
- AmeriHealth Caritas (Charleston, SC)
- …**required** + **Requires:** + Experience in State-specific Medicaid rules + Claims processing , healthcare billing and Provider data maintenance knowledge ... In addition, this position will work in conjunction with the Enterprise Claims Department to ensure all contractual claim requirements are met with quality… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **JOB SUMMARY** This position is eligible for a $5,000 sign on bonus for a 1-year commitment This role ... include the coordination and administration of effective and efficient processing for pharmacy benefits prior authorization processes, insurance evaluations,… more
- Trinity Health (Pontiac, MI)
- …corrected words/minute. + Work requires the ability to balance accounts and knowledge of claims processing , payments, and adjustments. + Work volume is high, and ... billing preferred. + Previous experience posting cash and adjustments in health care setting preferred. **III Duties / Responsibilities:** Ensures all transactions… more
- UnityPoint Health (Peosta, IA)
- …experience. Find a fulfilling career and make a difference with UnityPoint Health . Responsibilities Prescription Processing + Accurately enters new prescriptions ... patients. Follows all Federal and State regulations. Why UnityPoint Health ? At UnityPoint Health , you matter. We're...authorization and contacts the appropriate people to assist in processing of claims . + Prepares prescriptions by… more
- UCLA Health (Los Angeles, CA)
- …Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim ... Description Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system.… more
- Sunrise Senior Living (Mclean, VA)
- …with third-party outsourced vendors preferred. + Solid understanding of workers compensation claims processing . + Proven ability to provide excellent customer ... and bi-weekly basis. + Review payroll output post payroll processing to ensure proper processing of payroll...and filings per state requirements. + Complete Workers Compensation claims as dictated by state Laws. + Correspond electronically… more
- Herbalife (Torrance, CA)
- …guidance. * Stays abreast of scientific development and regulatory landscape pertaining to health claims and safety in NAM and MX, and shares information ... academic publications, presentations at conferences, etc.). * Practical experience with health claims substantiation and/or safety assessment for nutritional… more