- MyFlorida (Fort Lauderdale, FL)
- …programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims billing. Knowledge of the methods of ... of the Explanation of Payment and Explanation of Benefit Statements for health insurance companies/government healthcare related programs. One (1) year… more
- Elevance Health (Middletown, NY)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- WTW (Chicago, IL)
- …claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment + Solid ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- Elevance Health (Altamonte Springs, FL)
- …Impact.** The **Credit and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You ... the purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. +… more
- Humana (Lansing, MI)
- …handling escalated or highly visible provider complaints/issues to resolution. + Understanding of health insurance claims and ability to analyze data to ... part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible...providers in self-service functions - such as eligibility confirmation, claims submission and payment - by use of available… more
- AdventHealth (Maitland, FL)
- … claims for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- Elevance Health (Louisville, KY)
- …third party/worker's compensation subrogation files. + Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or ... - 7:00pm EST A proud member of the Elevance Health family of companies, Carelon Subrogation, formerly Meridian Resource...diploma or GED preferred, a minimum 2 years of claims or data entry experience; or any combination of… more
- CVS Health (Franklin, TN)
- …support + Familiarity with Final Expense, A&H, Medicare Supplement policy processing, or health insurance claims . + Experience working in a production ... At CVS Health , we're building a world of health...Processor is responsible for accurately reviewing and issuing new insurance applications within the New Business department. This role… more
- University of Michigan (Ann Arbor, MI)
- …and other team members, perform statistical analyses and develop data visualizations for large health insurance claims databases based upon the design of the ... programs using SQL merges to clean, manage, and merge analytic datasets for large health insurance claims databases based upon the design of the project +… more
- Providence (WA)
- …or paralegal), health care or general risk management, and insurance claims handling. **Preferred Qualifications:** + Upon hire: Certified Professional ... a related discipline. Or an equivalent combination of education and experience In the insurance industry; claims management; or legal handling of claims … more