- 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
- UnityPoint Health (Urbandale, IA)
- …authorization completion for specialty medications . Understands pharmacy benefit and medical benefit claims submission process for reimbursement of prescription ... up with third-party payers. Collect insurance information, run test claims , and obtain medical records for prior...school diploma or equivalent Experience: * One year of medical experience; preferably in community home health… more
- US Tech Solutions (Columbia, SC)
- …+ Onsite for the 1st week and then will be deployed to work from home . + Skill sets/qualities: Working knowledge of spreadsheet, database software. + Ability to work ... Assisting with triage when needed. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by… more
- Covenant Health Inc. (Knoxville, TN)
- …area (https://www.covenanthomecareandhospice.com/locations/) . Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, ... Field Staff Supervisor (CFSS) ensures the overall coordination of home health and hospice services provided to all clients...approves all orders for tracking purposes and route to Medical Records to be sent for physician signature. Ensures… more
- 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 (Columbus, OH)
- …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