- Healthfirst (NY)
- …operations, sales and finance **Minimum Requirements:** + Direct experience working with managed care operations and/or health plans + Claims experience ... including root-cause analysis, system set-up, etc + Strong communication skills (both verbal and written) + Ability to work collaboratively, confidently and influentially various levels of staff and clients + Excellent organizational skills + Demonstrated… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... account balances to specific account needs; ie, capitated labs. 8. Maintains Contract Management reporting (ie, payment errors, carve out billings ) and updates any information as needed or requested by supervisor. 9. Applies cash received to appropriate… more
- Molina Healthcare (Reno, NV)
- …or equivalent combination of education and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of the ... following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria. **Preferred Education** Bachelor's Degree… more
- CaroMont Health (Gastonia, NC)
- …Proficient with Epic, MS Office, and Windows environment. Experience with Managed Care , Medicare, Medicaid Admissions, Insurance, Discharge, business office ... procedures required. Advanced skills in dealing tactfully with internal and external customers, as well as, State, Federal, and community facilities and agencies. BLS required. Strong critical thinking, problem-solving, and analytical skills are required.… more
- Molina Healthcare (WI)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- Actalent (Redlands, CA)
- …be considered. + Healthcare or pharmacy benefit management industry preferred. Previous managed care platform working knowledge (ie: EZCAP) Work Environment Work ... Monday to Friday, 8am to 5pm with a one-hour lunch. Fully remote Pay and Benefits The pay range for this position is $21.50 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.… more
- Truist (Atlanta, GA)
- …contributor focused on providing a distinctive client experience anchored in care , expertise, and financial solutions delivery to Truist Teammates, Retirees, and ... and community heroes' presentations. 5. Remains available according to workforce managed schedule to deliver an exceptional client experience for inbound calls.… more
- RTX Corporation (Tallahassee, FL)
- …software maintenance is timely, compliance is maintained, incident tickets are managed . + Plan for continuous innovation, learning, and development within the ... leave, flexible work schedules, achievement awards, educational assistance and child/adult backup care . **Work Location:** Remote The salary range for this role is… more
- Mass Markets (IA)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Truist (Cookeville, TN)
- …individual contributor focused on providing a distinctive client experience anchored in care , expertise, and financial solutions delivery to clients and prospects in ... and a complete financial review. 4. Remains available according to workforce managed schedule to deliver an exceptional client experience for inbound calls. 5.… more