- LG Energy Solution (Holland, MI)
- …reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, and the ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time)...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
- Highmark Health (Pittsburgh, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** Date Posted: 20250606...Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 ... HEDIS analytical project experience. **Technical Skills and Knowledge:** + Knowledge of health insurance industry. + Knowledge of project management. + Ability… more
- St. Peters Health (Helena, MT)
- …in medical coding preferred. Has working knowledge of medical terminology, coding and insurance language. LICENSE/CERTIFICATION/REGISTRY: RHIA, RHIT, ... and monitors the progress of the claim. Resolves denied claims due to coding issues. Reconciles daily charge entry...weekly and resolves those outstanding. Conducts audits of physician medical documentation and coding as assigned. Other duties as… more
- Molina Healthcare (Scottsdale, AZ)
- …hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,… more
- UnityPoint Health (Urbandale, IA)
- …follow up with third-party payers. Collect insurance information, run test claims , and obtain medical records for prior authorizations. Re-verify eligibility ... completion for specialty medications . Understands pharmacy benefit and medical benefit claims submission process for reimbursement...and an employee recognition program . + Dental and health insurance , paid holidays, short and long-term… more
- CVS Health (Monroeville, PA)
- … claims . **Required Qualifications** + 1 year of Healthcare Insurance Billing related experience. + Experience using Microsoft Office products' specifically ... At CVS Health , we're building a world of health...the Monroeville area has an opportunity for a full-time Medical Copay Card Coordinator. As a Medical … more
- Elevance Health (Norfolk, VA)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...research findings. + Health insurance… more
- Covenant Health Inc. (Knoxville, TN)
- …and maintain a Tennessee driver's license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at ... and Hospice program every year. Covenant HomeCare is accredited by theCommunity Health Accreditation Program (http://chapinc.org) . We are a proud member of Covenant… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …but not required. + Previous experience in case management handling insurance claims a plus. + Strong skills in medical record review. + Familiarity ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate… more