- Robert Half Finance & Accounting (Des Moines, IA)
- …programs, including new enrollment processes, termination procedures, annual open enrollment, and claims resolution . * Manage and coordinate leave programs such ... Description We are looking for a detail-oriented Benefits Specialist to oversee and manage employee benefits programs in Des Moines, Iowa. This role involves… more
- CareFirst (Baltimore, MD)
- …of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment, contract negotiations and problem resolution . **Knowledge, Skills and ... contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market… more
- Molina Healthcare (Cleveland, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- Mass Markets (IA)
- …escalate customer dissatisfaction with managerial team + Ensure first call resolution through problems solving and effective call handling CANDIDATE QUALIFICATIONS ... troubleshoot, and follow-up on customer issues + An aptitude for conflict resolution , problem solving and negotiation + Must be customer service oriented… more
- Cardinal Health (La Vergne, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... and prioritizes getting the right things done. + Processing chargeback claims from pharmaceutical wholesalers to manufacturers + Verifying membership, and performing… more
- Truist (Greensboro, NC)
- …claims /inquiries escalated by internal departments and client service centers to resolution . Claims /inquiries related to Regulation E are met in accordance ... by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred… more
- Trinity Health (Hartford, CT)
- …with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. ... denials and identifies denial trends along with solutions for resolution + Run accounts receivable aging report to follow...to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …are followed, manage manning and staffing project efforts, and lead problem resolution efforts. + Interfaces with system or program contractors, vendors, and ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Robert Half Office Team (Antioch, TN)
- …loans, as necessary. + Works with past-due customers by developing a plan for resolution . + Delegates all collection activity on a daily basis and follows up to ... ensure completion. + Process insurance claims for customers. Maintains proper insurance claims records and reports. + Telephones and sends collection material to… more
- Henry Ford Health System (Troy, MI)
- …position you will be providing exceptional customer service to assist patients with their medical bills via phone. We pride ourselves on one call resolution and ... the customer in understanding their patient responsibility. Strives for first contact resolution in a timely and efficient manner. 3. Ensures timely responses to… more