- Guthrie (Sayre, PA)
- …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for ... more streamlined processing . Prepares reports as required and requested. Works with...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… 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
- 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 ... on experience. Benefits: Competitive pay Flexible PTO and paid company holidays Medical , dental, vision, disability and life insurance 401 (k) match Position… more
- Boehringer Ingelheim (Ridgefield, CT)
- …technologies (eg, Tableau). + Expertise in pharmaceutical sales data, payer data, claims data, data processing , modeling, visualizations. Sr. Associate Director ... (eg, Tableau). + Expertise in pharmaceutical sales data, payer data, claims data, data processing , modeling, visualizations. **Eligibility Requirements:** +… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- The County of Los Angeles (Los Angeles, CA)
- …in the operation of main or dormitory control booths. + Assists in processing inmates for court appearances. + Assists in performing administrative and operation ... or other Type l jail facility to assist in receiving and processing inmates: eg, searching, booking, photographing, fingerprinting, maintaining inmate records, and… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits + ... service are met and is subject to closure without prior notice. About the Medical Examiner: The Department of Medical Examiner investigates and determines the… more
- MyFlorida (Tallahassee, FL)
- …(WC) transactions. Communicating and coordinating to ensure proper handling of all WC claims with the medical care provider, Risk Management, legal staff, ... responsible for, but not limited to, the coordination and processing of all phases of the employee leave of...employee leaves of absence relating to the Family and Medical Leave Act (FMLA) and Family Supportive work Program… more
- Walgreens (Indianapolis, IN)
- …for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with ... + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing...with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to… more
- Northern Light Health (Portland, ME)
- …of all hospital departments and for overseeing the ongoing education of hospital and medical personnel related to risk prevention and claims management. The Risk ... a liaison to medical malpractice insurers and manages patient safety related claims or potential claims . + Will participate in patient safety initiatives… more