- UnityPoint Health (Urbandale, IA)
- …prior authorization completion for specialty medications. Understands pharmacy benefit and medical benefit claims submission process for reimbursement of ... payers as necessary. + Collects insurance information, runs test claims , obtains medical records as required for...High school diploma or equivalent Experience: One year of medical experience; preferably in community home health… 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
- Humana (Indianapolis, IN)
- …best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program ... skills to make an impact** **WORK STYLE:** Work at home /remote. While this is a remote position, occasional travel...CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development +… more
- Cambridge Health Alliance (Cambridge, MA)
- …CHA Cambridge Hospital **Work Days:** M-F, some weekends **Category:** Medical Assistant **Department:** Pediatric Office Practice Cambridge **Job Type:** Full ... administrative/clerical functions in addition to the clinical responsibilities of the medical assistant. Clinical Practice Assistants are essential members of the… more
- BrightSpring Health Services (Little Rock, AR)
- …is responsible for coordinating and supporting initiatives relative to the evaluation, processing , and handling of insurance claims . This position will also ... is designated as a safety sensitive position. Our comprehensive benefits include: + Medical and dental benefits + Short- and long-term disability + Life insurance +… more
- CVS Health (PA)
- …in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions ... In this role, you will be based from your home and travel onsite to conduct claims ...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Commonwealth of Pennsylvania (PA)
- …functions. Legal Requirements: + A conditional offer of employment will require a medical examination. + This position falls under the provisions of the Older Adult ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- Commonwealth of Pennsylvania (PA)
- …offer of employment will require satisfactory completion of a (MPOETC) medical examination / drug screening, psychological examination, and truth verification ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- Wells Fargo (Charlotte, NC)
- …for businesses, institutions, and wealth management clients - ensuring efficient processing of securities transactions, cash transactions and loans. The team also ... to customers who are utilizing personal loan, auto loan, home mortgage, credit card, or merchant services products. **Consumer,...of payment processes across our global network. **Fraud and Claims Management:** + Fraud and Claims Management… more
- Billings Clinic (Billings, MT)
- …preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims ... schools and abundant family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a difference here. About Us… more
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