- Henry Ford Health System (Troy, MI)
- …Responsible for handling of daily pharmacy duties such as drug claim adjudication issues, prior authorization, and pharmacy benefit inquiries from members/patients, ... Pharmacy Technician licensure preferred. Strong understanding and knowledge of medical /clinical and pharmacy terminology. Working knowledge of personal computers,… more
- BrightSpring Health Services (Grand Rapids, MI)
- …and ensure your documentation meets the highest standards. + Billing - Handles claim submissions, so you don't have to worry about reimbursement. + Administrative ... & monthly bonus structure up to $8,000/year + PTO and paid holidays + Medical , Dental, & Vision coverage + 401k match + Health Savings and Flexible Spending… more
- Trinity Health (Pontiac, MI)
- …equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiar with medications, abbreviations, chemical symbols, charge ... prioritize people in stressful situations. + Working knowledge of medical terminology and ability to spell medical ...requires the ability to balance accounts and knowledge of claims processing, payments, and adjustments. + Work volume is… more
- Queen's Health System (Honolulu, HI)
- …software including Macro Helix highly desirable. * Working knowledge of Epic electronic medical record system or other similar medical record system highly ... business units highly desirable. * Experience with retail prescription claims or hospital billing auditing highly desirable. Equal Opportunity… more
- SSM Health (MO)
- …(OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments against revenue posted ... + Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). + Develops and updates 340B Program reporting packets for SSM… more
- nVent (Anoka, MN)
- …thresholds, regional price variability recommendations, driven indexing, ship-and-debit claims impact analytic, price waterfall model, cost-to-serve analysis as ... with meaningful programs for eligible full-time employees that includes: + Medical , dental, and vision plans along with flexible spending accounts, short-term… more
- Insight Global (Mount Laurel, NJ)
- …the organization. The team focuses on root cause analysis to ensure clean claims and accurate revenue capture. Analysts will conduct charge audits, identify workflow ... issues, monitor Epic workqueues, review medical records for compliance, and document findings thoroughly. Additional responsibilities include running reports,… more
- Truist (Birmingham, AL)
- …or improvements. + Analyze and support the processing of proceeds from insurance loss claims . + Support the collection of delinquent loan payments, as well as the ... by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred… more
- Subaru of America (Lebanon, IN)
- …design and approval of packaging specifications, reviewing of damage and defect claims data and continuous improvement projects. CORE RESPONSIBILITIES + Develops and ... offers an amazing benefits package that includes: Total Rewards & Benefits: + Medical , Dental, Vision Plans + Pension, Profit Sharing, and 401K Match Offerings +… more
- World Insurance Associates, LLC. (Syosset, NY)
- …support and manage employee benefits for clients, with a focus on: Medical , Dental, Vision, Life, AD&D, Long-term Disability, Short-Term Disability, and Voluntary ... cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly,… more