- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and to maximize reimbursement. + Routinely attends coding and… more
- CareFirst (Baltimore, MD)
- …for collecting, organizing and tracking information to facilitate and expedite processing of appeals and/or grievances received from a variety of sources. ... years experience in settings such as managed care, health care or insurance payor environment. **Preferred Qualifications:** + College Degree + Knowledge of… more
- Centene Corporation (Clayton, MO)
- …work to interpret and analyze complex data from multiple sources including claims , provider, member, and encounters data. Proactively identifies and assesses the ... more of the following skills are desired. + Experience with Big Data; Data Processing + Experience with Data Manipulation; Data Mining + Experience with one or more… more
- CVS Health (Hartford, CT)
- …of UiPath, Automation Anywhere (AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years converting business requirements to ... solutions in a distributed cloud environment, preferably GCP + Experience in healthcare/ insurance , PBM, or pharmacy services + Experience leveraging GenAI and other… more
- Walmart (Lincoln, NE)
- …products and services while maintaining a safe shopping environment creating and processing customer requests and service orders in accordance with company policies ... equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99… more
- Novolex (Florence, KY)
- …multiple industries including foodservice, restaurant delivery and carryout, food processing , grocery and retail, and industrial sectors. Novolex manufacturing and ... resolve or help to resolve quality issues. (including filing claims against carriers/formal corrective action responses/root cause analysis/etc.) **Qualifications**… more
- Houston Methodist (The Woodlands, TX)
- …facilitate the patient visit experience. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... customer service, phone and scheduling skills + Basic computer skills in word processing applications and ability to utilize software systems such as the electronic… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …schedules to ensure accuracy; this includes personnel, fringe, food costs, liability insurance , and all OTPS + Request property codes (previously referred to as ... Directors to secure appropriate backup source documentation to substantiate invoices and claims + Ensure payroll reports are reviewed and corrections returned to the… more
- Walmart (Bentonville, AR)
- …equipment and tracking orders; recording purchases and usage; submitting warranty claims ; complying with Occupational Safety and Health Administration (OSHA) and ... coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance . Paid time off benefits include PTO (including sick leave), parental… more
- Trinity Health (Maywood, IL)
- …for maintaining accurate patient and guarantor accounts through the review and processing of refunds, payments, and adjustments. This role ensures billing accuracy, ... and reporting activities. **Key Responsibilities** + Analyze patient, internal, insurance , and government refund requests to determine validity and process… more