- Sedgwick (Columbia, SC)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing… more
- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... payers to obtain payments, as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage. + Follow up on… more
- Elevance Health (Lake Mary, FL)
- …+ Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims , etc. + ... and Experiences:** + General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred. + Specialty Pharmacy… more
- Elevance Health (Las Vegas, NV)
- …+ Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims , etc. + ... and Experiences:** + General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred. _For URAC accredited… more
- Elevance Health (Mason, OH)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines...to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in… more
- Elevance Health (Atlanta, GA)
- A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, ... primary contact and liaison for and between the company's medical partners and the pharmacy vendor for implementing and...but are not limited to:** + Researches and interprets claims issues while ensuring good, accurate and timely customer… more
- Beth Israel Lahey Health (Burlington, MA)
- …+ Comprehensive working knowledge of medical /hospital billing practices, billing software, health care insurance , and CMS regulations + Knowledge of CPT, ... Line Directors, Managers, Finance Directors, clinical support staff, Physicians, allied health care providers, hospital colleagues, and others regarding matters that… more
- Hologic (Marlborough, MA)
- …cancer or cancer screening (preferred). + Proficiency in analyzing medical insurance claims and electronic health records. **Skills and Behaviors** ... liaison activities. + Expertise in evaluating scientific literature, payer policies, health technology assessments, and medical guidelines. + Knowledge of… more
- World Insurance Associates, LLC. (Syosset, NY)
- …degree in a business-related program or equivalent education and/or experience in the insurance industry. + Life/ Health insurance license or the ability ... Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a...setup of online benefits enrollment support tools. + Resolves claims or administrative issues on behalf of client, escalates… more
- University of Miami (North Miami, FL)
- …Office - UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this ... position is part of the Central Insurance Verification (CIV) department and will be responsible for...patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist… more