- Insight Global (New York, NY)
- …in Mastercard or Visa chargeback processes for a Disputes Product Management Lead position supporting the AppleCard! This is an individual contributor role at ... of work for the Dispute teams back-office operations. The claims agents use Pega Dispute as their platform to...integrated with Mastercard and currently consists of many dispute processing workflows that are manual and require optimization. The… more
- Blue KC (Workman, MN)
- …years of experience working in the healthcare industry + 3 years extensive knowledge claims processing / billing + Experience with CMS methodologies + Experience ... program** **Job Description Summary:** The Provider Reimbursement and Content Analyst, Lead formulates and defines systems scope and objectives; and combines an… more
- Valero (Houston, TX)
- …and updates a log on each employee out on long-term leave. * Completes processing of all duties involved in employment, termination, transfer, and promotion of all ... the department, such as open enrollment. * Numbers, prepares, and completes processing of all Personnel Activity Requests. * Prepares and distributes annual Vacation… more
- Trinity Health (Ypsilanti, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers ... insurance, or managed care industries is highly preferred. Experience performing medical claims processing , financial counseling and clearance, or accounting is… more
- Walmart (Aurora, CO)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- CVS Health (Harrisburg, PA)
- …Demonstrated experience in the **healthcare payer** industry, including familiarity with claims processing , eligibility, and provider systems. + Strong ... **mainframe experience** , including integration with modern platforms. + Proven expertise in **cloud platforms** (eg, Azure, AWS, or GCP). + Hands-on experience with **AI/ML technologies** and their application in enterprise solutions. + **Technical Skills:**… more
- Walmart (Jefferson City, MO)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …policies. **Job Su Summary:** Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed… more
- MyFlorida (Tallahassee, FL)
- …and meetings. JOB DUTIES: General: Designs, implements, and coordinates the claims processing financial information management systems for Florida Department ... and execution of computer processing /management information system development for claims processing . Coordinates with USDA in obtaining funds through… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... stakeholders. + Develop and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications of changes across the… more