- AdventHealth (Altamonte Springs, FL)
- …+ Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims . + Communicates consistently with team members to ... fully remote or hybrid work environment + Cerner Patient Accounting + SSI Claims Scrubber + Epic **Preferred Qualifications:** + Associate Preferred + Certified… more
- Humana (Frankfort, KY)
- …client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles ... claims and customer service issues. Understands department, segment, and...must be performed onsite at Public Education Employees Health Insurance Plan in Frankfort, Ky. This is not a… more
- New Jersey Resources (Rockaway, NJ)
- …and loss + Lead investigations involving regulatory inspectors (eg, OSHA) and insurance carriers; conduct thorough injury investigations and report findings + Ensure ... timely resolution of identified safety deficiencies + Perform root cause analyses on claims ; maintain detailed claims data and reporting logs + Manage fleet and… more
- Elderwood (Buffalo, NY)
- …living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from ... + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy...and internal) Base wages increase with experience! Qualifications + Associate 's Degree or High School diploma (or GED) and… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Department of Social Services Accountability Office ... Homeless Services (DHS). AO maintains the operation of the Office of Audit Services (OAS) and Office ...from the State Wage Reporting, Department of Corrections, Unemployment Insurance and child support greater than cash assistance grant… more
- AmeriHealth Caritas (Detroit, MI)
- …provider satisfaction, streamline processes, and enhance electronic strategies for claims and auto-adjudication. **Work Arrangement:** + Hybrid -This role requires ... the associate to be onsite at the Southfield, Michigan (MI) office at least three days per week, including mandatory in- office days on Tuesdays and… more
- Surgery Care Affiliates (Jacksonville, FL)
- …all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts + ... 401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca.health/why-sca) to learn more about our… more
- Iowa Department of Administrative Services (Cedar Rapids, IA)
- …###@iwd.iowa.gov + Description + Benefits + Questions Job Description Position will be office based in the Cedar Rapids IowaWORKSAmerican Job Center. Do you want to ... disability determination services, information technology, labor market information, unemployment insurance services, vocational rehabilitation services, and workforce services. The… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …setting; healthcare or pharmaceutical experience is strongly preferred (such as insurance verifications, claims , etc.). Skills: Advanced skill level in ... assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge "white glove"… more
- AO Smith (Lebanon, TN)
- …provide clear guidance on company policies, processes and procedures. + Negotiate validated labor claims with Reps & non-CSP's + Travel 80% in order to support and ... and sales departments of status and disposition of customer complaints and claims . + Utilize interpersonal skills to communicate professionally at all levels within… more