- Access Dubuque (Dubuque, IA)
- …with healthcare providers to establish realistic return-to-work expectations. + Oversees medical management of claims , ensuring compliance with duration control ... PURPOSE** The Senior Disability Representative is responsible for overseeing complex disability claims with a high level of autonomy and expertise. This role… more
- CVS Health (Hartford, CT)
- …to business problems (experience with administrative claims data such as pharmacy or medical claims a plus). + 2+ years of experience developing analytic and ... for evolving our current analytical competencies which monitor our claims production environment. By enabling data-driven strategic decision-making, you will… more
- Walgreens (Memphis, TN)
- …for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with ... experience with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to Medicare submission, knowledgeable in EOB… more
- General Dynamics Information Technology (Las Cruces, NM)
- …obtain a Public Trust clearance **PREFERRED SKILLS & EXPERIENCE:** + Previous experience with medical claims and billing is preferred + 2+ years of progressively ... responsible work experience in a customer service, medical claims , call center, or a secretarial position is preferred + Proven ability to work effectively as a… more
- Alight (IN)
- …an emphasis on returning medically able individuals back to work. + Consults on medical claims within their scope of licensure and clinical expertise. **You ... ** Medical Nurse Consultant:** The Nurse Consultant functions as...claim examiners as they manage short- and long-term disability claims . Using MDGuidelines, which is the gold standard in… more
- NTT DATA North America (Oklahoma City, OK)
- …analysis. **Basic Qualifications:** + **Experience:** + 2 years in an analytical role reviewing medical benefits and claims . + 2 years of claims adjudication ... and phone. + **Proactive Follow-Up:** Follow up on pending claims and assist in gathering required medical ...pending claims and assist in gathering required medical records. + **Benefit Calculation:** Calculate benefit amounts and… more
- Ozarks Medical Center (West Plains, MO)
- The Risk Manager leads the health system's integrated program for medical malpractice/ claims management, enterprise risk management, patient safety, and ... risks; coordinates event investigations using Just Culture principles; manages claims and insured/uninsured losses; and facilitates physician peer review (including… more
- Select Medical (Canonsburg, PA)
- …+ Ability to work independently with minimal supervision. + Familiarity with medical billing, insurance claims processing, or indemnity insurance practices is ... least one year of experience in high-volume computer work, medical billing, or insurance claims processing is...high-volume computer work, medical billing, or insurance claims processing is preferred. **Additional Data** **A Workplace That… more
- Humana (Honolulu, HI)
- …and reporting. Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to ... community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims… more
- Health Care Service Corporation (Abilene, TX)
- …Clear and concise written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral preference given ... Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving… more