- Humana (San Juan, PR)
- …Previous inbound call center or related customer service experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ... part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages...and speak English and Spanish + Experience with the Claims Administration System (CAS) + Experience working with MHK… more
- Humana (Columbia, SC)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- Presbyterian Homes and Services (Roseville, MN)
- …with members of teams at the sites, home office HR and Employee Health to communicate effectively and to ensure compliance with cross-team responsibilities. + ... Partner with HRIS, payroll, benefits, and vendor partners to ensure seamless processing of leave and pay. Reporting & Compliance + Maintain thorough documentation… more
- Sweetser (Saco, ME)
- …billing and related documentation. * Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until ... claims are paid. * Initiate collection on past-due self-pay...preferred. **EXPERIENCE:** * One (1) year of experience in health care billing preferred. * Experience in the mental… more
- Pacific Seafood (Clackamas, OR)
- …leadership team for a diverse group of industry-leading seafood business operations, processing a variety of species that include but are not limited to: ... a team that provides benefits administration services to the company, including health insurance, 401(k), and leave management. + Oversee a team that delivers… more
- Allegion (CO)
- …managing the transactional service by delivering on those expectations through timely processing of required duties, resulting in customer loyalty. + Process freight ... claims when required and perform administrative duties associated with...resolve issues associated with product quality, delivery and order processing errors using multiple ERPs, Microsoft Dynamics CRM, and… more
- Ventura County (Ventura, CA)
- …supports the Chief Investment Officer in the review of securities litigation claims processing and/or other reporting activities. + Organizes and maintains ... to a 3% match on your 401(k) contributions. + Health Plans - Full time employees are afforded a...copiers, and fax machines. Advanced skill in: + Word processing software; + Formatting legal forms and composing standard… more
- Ross Stores, Inc. (New York, NY)
- …**About this opportunity\.\.\.** The Coordinator, HR Ops is responsible for processing associate employment records for the Ross buying offices, i\.e\. payroll ... process, associate change of status processing and new hire activations\. The Coordinator is responsible...in prior paychecks + Responds to and vets unemployment claims with Equifax to ensure accurate management of process\.… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …personally or through subordinates. Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... submission, and resubmission (as required) of all third party claims + Assist in the management of the pharmacy...in the management of the pharmacy inventory, including transmitting, processing and receiving orders to the Kinney Warehouse and… more
- Mass Markets (CA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more