- Ardon (Portland, OR)
- …be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a ... patient records Loading insurance information Performing prescription data entry Processing prior authorization notices Performing and reviewing claim … more
- IQVIA (Durham, NC)
- …and check prior authorization and/ or appeal status) + Pharmacy Support (responsible for receiving medical claims from HCPs or patients and vetting the claim ... training, education, or equivalent experience required + Experience in pharmacy operations/ claims processing or equivalent experience required + Experience… more
- CVS Health (Cheyenne, WY)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Access Dubuque (Dubuque, IA)
- …Overview** Provide support to employees in the facility by administering First Aid, processing medical paperwork, conducting physical exams and urine tests for ... physicians, both written and verbal. Communicates with doctors and hospitals regarding medical /worker's compensation claims . **Participates as a member of the… more
- Commonwealth of Pennsylvania (PA)
- …utilizes your strong interpersonal skills and ability to make residents feel at home in a supportive living environment? Are you a compassionate caregiver who wants ... + A conditional offer of employment will require a medical examination. + This position falls under the provisions...US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more
- MyFlorida (Tallahassee, FL)
- …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64858502 Date: Nov 18, 2025...+ In-depth training provided + No work to take home or emails to check on weekends or after hours… more
- Henry Ford Health System (Troy, MI)
- …professional publications as it pertains to Benefit Administration Manual policies, claims processing decisions, and coding credentials. This posting represents ... GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT,… more
- Lowe's (Richmond, VA)
- …Bulk Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load ... for vacations, holidays and sick time, as well as access to top-tier medical , dental and vision insurance. For information about our benefit programs and… more
- The Cigna Group (Morris Plains, NJ)
- …NCPDP guidelines; Point of Sale; Coordination of Benefit ("COB"); manual submitted claims processing ; retail pharmacy network system; CA-7 Scheduler; Endeavor; ... with or knowledge of: IBM Mainframes; COBOL6; JCL; VSAM; DB2; MQ; TSO/ISPF; PBM claim adjudication processing ; Inflation Reduction Act ("IRA"); CMS (HIPPA);… more
- The Cigna Group (Bloomfield, CT)
- … medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, ... ** Medical Principal Job Description** **Position scope:** Primarily regional...management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for… more