- Elevance Health (Richmond, VA)
- …in medical or insurance field preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides...with Elevance Health . Any unsolicited resumes, including those submitted to hiring… more
- Elevance Health (San Juan, PR)
- …skills, and analytical skills. + Call Center Experience preferred. + Previous Health Insurance Experience preferred. + Bilingual (Spanish / English) or ... Expert** is responsible for providing technical direction, guidance and resources to claims , customer service, or membership associates on a day-to-day basis. **How… more
- Elevance Health (Louisville, KY)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. + Leverage and expand your...provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Henry Ford Health System (Detroit, MI)
- …and regulations, reimbursement systems (federal, state, and payer-specific), and health insurance processing. + Facilitates compliance-related data aggregation ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager , the Principal Compliance Investigator will oversee compliance auditing...primary and preventative care to complex and specialty care, health insurance , a full suite of home… more
- Sedgwick (West Hills, CA)
- …+ Refers cases to LTD Supervisor, LTD Manager , or Project Manager . + Negotiates settlement of appropriate claims within designated authority level. ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …needs Employee Assistance Program (EAP) for you and your family Health /Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, ... evaluating) engaged in one or more revenue cycle functions, including claims processing, clinic customer service, charge capture/cash posting, refunds/credits, … more
- Fairview Health Services (Minneapolis, MN)
- …functions, ensuring Fairview remains a nationally competitive, value-based partner across health plans, PBMs, and employer coalitions. The ideal candidate brings ... deep, direct experience in PBM or Payer ( Health Plan) environments, and can translate complex clinical, financial,...payer strategy within a specialty pharmacy, PBM (Pharmacy Benefit Manager ), and/or managed care setting. + 7 years Prior… more
- East Boston Neighborhood Health Center (Revere, MA)
- Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential… more
- Fallon Health (Worcester, MA)
- …inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...+ Leads on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression analyses,… more
- Crown Equipment Corporation (Long Beach, CA)
- …on warranty claims . + Tracking rejected warranties and notifying Service Manager about rejected warranties. + Prepare monthly list of warranties not paid and ... **Job Posting External** **Job Duties** + Review and correct all warranty claims generated through technicians to prepare for submission to vendors. + Process… more