- Insight Global (Robinson, PA)
- …Skills and Requirements 1+ year of Pharmacy Benefits experience - processing claims , triaging denials, verifying benefits 1+ year of ... to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims , triaging rejected claims , and verifying benefits. Prior Pharmacy… more
- Cognizant (Owings Mills, MD)
- …types, service tiers, and penalty configurations to support healthcare products and claims processing . . Gather and analyze business requirements for benefit ... tiers, penalties). . Strong understanding of healthcare administration, benefit design, and claims processing workflows. . Proficiency in Facets modules such as… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …for optimization in HCP contracting + Develop dashboards and KPIs to monitor processing of HCP payments + Analyze engagement data to identify trends, efficiency ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing -OR- * An approved equivalent combination of education ... * Excellent problem solving skills * Knowledge of EPIC claims processing systems and electronic health records...following: * EPIC Resolute Hospital Billing and Professional Billing Insurance Claims Follow-Up - within 12 months… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will...system and from electronic claim vendor processing , They are to correct all errors or warning… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …to support the company's market access strategy. Oversees rebate invoice processing including validation to prevent revenue leakage and payment processes. Includes ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- Alabama Oncology (Birmingham, AL)
- …including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion ... problems, issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt....plus years of experience + Experience in medical billing / insurance processing and balancing accounts Company Benefits… more
- AON (New York, NY)
- …relationships with the underwriting community, especially key partner markets + Processing , and/or issuing where applicable, new policies and policy renewals, ... + Calculating adjustments and premiums on polices and other insurance and provider documents + Lead, measure and report...duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed,… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …Kafka, Kinesis, Spark Streaming) is a plus. * Ability to design and implement insurance data models across policy, claims , customer, and finance domains. * ... (https://youtu.be/YSXgCJSXL44) By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube)… more
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