- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Trinity Health (Schenectady, NY)
- …experience in a medical office helpful but not necessary + Experienced in Medical Claims Billing **Experience Requirements** : + One to Two years financial ... Department. + This position is responsible for reviewing coding and approving all claims /invoices in the accounts payable system. + Works with vendors and medical… more
- Johns Hopkins University (Middle River, MD)
- …of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). + Working knowledge of medical billing applications. ... Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Johns Hopkins University (Middle River, MD)
- …of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). + Working knowledge of medical billing applications. ... + Utilize online resources to facilitate efficient claims processing. + Knowledge of medical terminology, CPT codes and diagnosis coding. + Excellent… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate ... required. + Previous experience in case management handling insurance claims a plus. + Strong skills in medical...compensation and legislative issues a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** Date Posted: 20250606 Location: Allegheny General Hospital Department: Case Management, Emergency/CDU ... Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers...Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with… more
- Otsuka America Pharmaceutical Inc. (Juneau, AK)
- **Position Summary:** The Director, Health Technology Assessment (HTA) Lead, is responsible for leading the strategic development of HTA submissions. This role ... questions from HTA agencies. + Ensure global and regional value evidence, medical , market access and government affairs teams are working seamlessly to execute… more
- South Middlesex Opportunity Council (Framingham, MA)
- …and operating reports. + Other duties as assigned. Knowledge and Skill Requirements: + Medical and/or Mental Health third party billing experience - min 3+ years ... work with all phases of billing for a Mental Health / Substance Abuse Clinic. To be considered you...you must have at least 2-3 years' experience in medical billing with a focus on payment posting and… more
- Sedgwick (Cedar Rapids, IA)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- NTT America, Inc. (Oklahoma City, OK)
- …analysis. **Basic Qualifications:** + **Experience:** + 2 years in an analytical role reviewing medical benefits and claims . + 2 years of claims adjudication ... vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and...and phone. + **Proactive Follow-Up:** Follow up on pending claims and assist in gathering required medical … more