- Gentiva (Mooresville, NC)
- …highly organized Revenue Cycle Specialist to support our billing operations through timely processing of Government and Commercial claims . This role plays a ... **Overview** **Streamline Claims . Ensure Accuracy. Support Quality Care.** We are...vital part in maintaining accurate medical records, identifying payer trends, and ensuring billing compliance… more
- Humana (Santa Fe, NM)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Humana (Indianapolis, IN)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- CenterWell (Grandview, MO)
- …regional and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data… more
- Lowe's (Suwanee, GA)
- …inquiries. * Communicate with customers to capture feedback and enhance the in- home delivery experience. * Proactively manage and resolve customer issues, including ... * Coordinate with 3PL (third-party logistics) partners to resolve customer and cargo-related claims . * Input and manage claims (eg, property damage) into Lowe's… more
- Lowe's (Baltimore, MD)
- …inquiries. * Communicate with customers to capture feedback and enhance the in- home delivery experience. * Proactively manage and resolve customer issues, including ... * Coordinate with 3PL (third-party logistics) partners to resolve customer and cargo-related claims . * Input and manage claims (eg, property damage) into Lowe's… more
- Atlantic Health System (Newton, NJ)
- …3 - Processing prescriptions through the insurance plan and resolving claim issues, Contact patients when medications are not available (back order or out ... incoming purchased orders, Stocking pharmacy equipment required for prescription processing , Remove expired medications off the shelf, ordering medications through… more
- Humana (San Juan, PR)
- …+ Previous inbound call center or related customer service experience + Previous experience processing medical claims + Bilingual (English and Spanish); with ... + **Must have experience in the healthcare industry or medical field** + Strong data entry skills required +...and speak English and Spanish + Experience with the Claims Administration System (CAS) + Experience working with MHK… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Identifies claims and provider reimbursement related system problems, including claims coding and processing issues, coordinates research, audit, and ... new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well… more