- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector positions. In this role,… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and provide inbound support, help desk assistance, technical troubleshooting, and back-office processing for both commercial and public sector clients. In this role,… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …and optimal revenue performance. The Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and ... rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. + Identify and report… more
- CareFirst (Baltimore, MD)
- …physicians and/or ancillary providers as well as knowledge about contracting and claims processing . + Experience in revenue cycle management and value-based ... use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy,...CRC coding experience in managed care; state or federal health care programs; or health insurance industry… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Appeals & Grievance Analyst, you will be responsible for reviewing and processing appeals and grievances submitted by Members and Providers\. Your daily ... required _Experience_ + 2 years \- Customer service and/or claims experience + 1 year - Medicare Advantage customer...or through other means\.** About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …the corporate philosophy: "Otsuka people creating new products for better health worldwide." We are committed to researching, developing, manufacturing, and ... treatments for diseases and nutraceutical products to maintain everyday health . Our pharmaceutical efforts emphasize developing and commercializing therapies in… more
- Otsuka America Pharmaceutical Inc. (Pierre, SD)
- …degree (PhD, PharmD, MD, MPH, or equivalent) in a relevant scientific or health -related field. + 10+ years of experience in pharmaceutical, biotech, or healthcare ... rare diseases. + Familiarity with innovative evidence platforms, digital health technologies, and advanced analytics. **Competencies** **Accountability for Results… more
- WMCHealth (Poughkeepsie, NY)
- …Applicant link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services ... City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Patient Accounts-WMC Health Union: No Position: Full Time Hours: 40 Shift: Day… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . As a Director of Translational Medicine (TM), you...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Molina Healthcare (NY)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more