- 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
- HCA Healthcare (Denver, CO)
- …otherwise assigned) . Work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, ... HealthONE Presbyterian St. Luke's, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- AmeriHealth Caritas (Charleston, SC)
- …education and experience preferred. + Required ability to focus on technical claims processing and Provider data maintenance knowledge. + Required understanding ... SLA timeframes. + Serves as the subject matter expert in State specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise… more
- Insight Global (Santa Barbara, CA)
- …loading expenses and revenue into the ledger. Extract and translate data from QNXT claims processing system into feeds required by Finance. Develop and maintain ... accurate ledger entries. The ideal candidate will have hands-on experience with health plan financials, claims systems, and advanced data analysis tools.… more
- Commonwealth of Pennsylvania (PA)
- …Human Resource Analyst 1, you will be responsible for managing medical with lost time claims , modified duty, and indemnity claims for a specified period of time. ... case strategies for returning employees to work or closing claims . Work also involves investigating and making adjustments...value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health … more
- Centene Corporation (Frankfort, KY)
- …best practice and quality standards. + Applies a comprehensive knowledge of claims processing , provider customer service and payment knowledge to escalated ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …concerns/issues, etc. Performs quarterly claims audits to ensure accurate claims processing . Maintains, monitors, and reports savings in partnership with ... skills/experience and knowledge of problem-solving tools/techniques. * Demonstrated experience with health plan claims ' systems and knowledge of internal… more
- State of Indiana (Indianapolis, IN)
- …integrate the delivery of human services by state government. FSSA is a health care and social services funding agency. Ninety-four percent of the agency's total ... serve Hoosiers of all ages and connect them with social services, health care and their communities. Disability Determination Bureau: Title II (Disability Insurance)… more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare ... AR team activities associated with timely resolution of outstanding insurance claims . 2. Contributes to decisions that impact workflows effecting timely resolution… more
- Stony Brook University (Stony Brook, NY)
- Office Assistant 1 - Health Information Management Full Time Day Shift (7:30 AM - 4:00 PM) **Position Summary** Office Assistants 1 performs office support and ... and meetings using various office tools. + Perform routine processing activities, including checking forms for completeness and accuracy. **_Calculations_**… more