- TEKsystems (Columbia, SC)
- …Education: High School Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu ... HAVE skill sets/qualities: knowledge of Excel, detailed oriented, and claims knowledge would be a plus. We are flexible...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Robert Half Legal (Bethesda, MD)
- …compliance. * Manage billing functions related to legal services and ensure timely processing of claims . * Coordinate calendar schedules, ensuring deadlines and ... appointments are effectively managed. * Administer claims , providing thorough analysis and resolution within legal guidelines. * Communicate effectively with… more
- Koniag Government Services (Wolf Point, MT)
- …eligibility, assists with enrollment processes, and follows up on pending claims to ensure timely resolution. **Essential Functions, Responsibilities & Duties may ... for alternate resource programs. + Monitor and follow up on all pending claims to secure updated status, resolve discrepancies, and ensure timely processing .… more
- Bechtel Corporation (Thacker, AR)
- …known lithium resource in the United States. Once complete, the mine and processing facilities will produce more lithium carbonate than any other facility in the ... award, monitoring the performance of contractors, back-charge procedures, resolution of claims and disputes, and other such related steps. + Experience formulating… more
- Elevance Health (Norfolk, VA)
- …and effectiveness of drugs and other biologic interventions. + Uses a large claims database to conduct studies which focus on improving health outcomes. + Leads ... models; 3 years coding experience with SAS; 3 years experience manipulating and processing large multi-source datasets with SAS and SQL programming tools; or any… more
- St Croix Hospice (Mendota Heights, MN)
- …or home health. + 10+ years of hands-on experience with Medicare billing, claims processing , and collections. + Strong knowledge of Medicare hospice ... billing for hospice care, including timely submission and correction of claims . + Collaborate with clinical, financial, and operational leadership to address… more
- Air National Guard Units (Salt Lake City, UT)
- …have a valid state driver's license. Participation in direct deposit is mandatory. Medical screening will be completed upon selection for hire. Soldiers who accept a ... resource and fiscal management, training, manpower management, and/or automated data processing to meet the logistics plan. Experience identifying delays or problems… more
- New York State Civil Service (White Plains, NY)
- …set up day one orientations.* Work with Property Services on badging, processing new hire paperwork, completing I-9 verifications and assisting with periodic audits. ... Resources Specialist 1, Senior Administrative Analyst, Policyholder Services Representative 1, Claims Services Representative 1; OR * Six years of experience*… more
- The Cigna Group (Detroit, MI)
- …to base an informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and available tools including ... the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate… more
- Guidehouse (Atlanta, GA)
- …Lead quantitative analysis and modeling of real-world data, including CMS, commercial claims , and clinical health data, to generate actionable insights for federal ... Python, and SQL. + Utilize DataBricks and Snowflake for scalable data processing and analytics. + Collaborate with epidemiologists, clinicians, and public health… more
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