- Walgreens (Robertsdale, AL)
- …staff. Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent ... payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. + Follow-up with medical providers' offices to… more
- Delta Dental of Iowa (Johnston, IA)
- …(eg, Docker, Kubernetes), and CI/CD pipelines. + Familiarity with healthcare or insurance systems, including claims processing , enrollment, or regulatory ... innovative, secure, and scalable applications that support our healthcare insurance operations. This is an opportunity to use your...Iowa, we're more than just a dental and vision insurance company. Improving health and wellness is at the… more
- Sedgwick (Springfield, IL)
- …benefits due, and files necessary documentation with state agency. + Communicates claim action/ processing with appropriate parties including, but not limited to: ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Specialty Operations Coordinator **PRIMARY PURPOSE** : To analyze low- and mid-level… more
- Access Dubuque (Dubuque, IA)
- …and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . *Spanish or Portuguese speaking a plus* **ESSENTIAL ... under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation… more
- Sedgwick (Chicago, IL)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes… more
- Sedgwick (Eden Prairie, MN)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation… more
- Walmart (Zanesville, OH)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more
- Walmart (Harrisburg, PA)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible ... by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims and/or rejections assisting patients members with… more
- Cognizant (Jefferson City, MO)
- …developing, and optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be ... SQL queries to validate configuration accuracy and ensure correct claim processing behavior. + Partner with business... analysis, and defect resolution. + Experience with dental claims processing and Coordination of Benefits (COB).… more
- Sedgwick (Lexington, KY)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral… more
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