- CareFirst (Baltimore, MD)
- …and management, claims inquiries and/or case documentation. Assists with member follow up and coordination of care that does not require intervention from a ... GED. **Experience:** 3 years experience in a health care or health insurance setting. **Preferred Qualifications:** + Previous experience in a health care/managed… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …for accurate claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary changes of current policies, ... 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life… more
- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. + ... statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims...Assist with the collection of appointment notes from all follow up care. + Must be an effective communicator… more
- The Estee Lauder Companies (New York, NY)
- …support manager in the development of clinical test plans, sensory test plans, claims lists, component ordering for testing (8) Manage product meeting samples with ... to capture all development needs including product technologies, positioning, and claims . Develop slides for cross⁃functional turnover presentations related to the… more
- Granville Medical Center (Oxford, NC)
- …Excellent troubleshooting, time management, and organizational abilities. + Knowledge of insurance processes and medical terminology. + Proficiency with ... for registration and scheduling to ensure accurate patient demographic and insurance collection. + Establish quality control measures to ensure correct billing… more
- Vanderbilt University Medical Center (Nashville, TN)
- …(Intermediate): Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims , payment and coverage. Ability to interpret ... **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and...funding resources. . KEY RESPONSIBILITIES + Obtains certification from insurance companies for all office visits. + Verifies … more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …change as determined by the needs of the business. BENEFITS for full time employees + Medical , Dental, and Vision insurance + 401 (k) (available for Part Time & ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- UPMC (Pittsburgh, PA)
- …claims experience with knowledge of ICD10, CPT, HCPC codes, billing or claim insurance forms strongly preferred. + Knowledge of Medical Terminology a plus. ... Specialist, you'll be at the front line of our claims intake process-ensuring that every paper claim and piece...document management, and develop a strong foundation in health insurance operations-all while contributing to the timely resolution of… more
- CVS Health (Largo, FL)
- …subject matter expert and trusted advisor. + **Issue Escalation & Follow -up:** Collaborate cross-functionally with internal teams (Eligibility, Claims , Clinical) ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- Cardinal Health (Doral, FL)
- …Summary:** The Accounts Receivable Insurance Collector is responsible for the timely follow -up and resolution of insurance claims . This role ensures ... collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within payer-specific guidelines and timelines.… more