- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. As ... + Experience with pharmaceutical data sources such as IQVIA, Komodo, Symphony Claims , and other syndicated resources; strong understanding of Patient/ Claims data… more
- CVS Health (Hartford, CT)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Option Care Health (Jackson, MS)
- …up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing . Sends letters to the ... abilities, as well as internal equity and alignment with market data. **Benefits:** - Medical , Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... maintains confidentiality. - Coordinates filing of all necessary data into the medical record to insure compliance with AIDS Institute requirements. - Collects and… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is looking for a Self-Pay Collector to join the Business Services Team! The Self-Pay Collector will function as a liaison between ... but is not limited to; entering and editing insurance data, queue claims for billing, edit insurance balances, reverse and re-batch transactions, enter reminders… more
- CVS Health (Franklin, TN)
- …Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What you ... timely support. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing...need Minimum Requirements** + 2+ years of experience with medical claim processing . + 2+ years of… more
- CVS Health (Plymouth, MN)
- …role is critical in ensuring accurate plan setup, compliance, and seamless processing across Customer Service, Claims , Enrollment, Billing, and Reporting ... + Review, interpret, and configure plan benefits for online viewing and processing . + Utilize Meritain's proprietary system to perform analytical coding for… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors.… more
- Covenant Health Inc. (Sevierville, TN)
- …Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. + Incumbent must ... claims , and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims process. Assists the… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation |** **Select Medical ** 1199 Pleasant Valley Way, West Orange, NJ 07052 **Human Resources Coordinator - Inpatient ... **You are a valued member of our team** + **Full-benefits package** (Including medical , dental, vision, 401k, paid time off, tuition assistance and more!) +… more
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