- ProSmile (Manahawkin, NJ)
- …the use of MS Office software applications + Remarkable understanding of dental insurance claims + Excellent interpersonal skills and communications abilities + ... Promote in office marketing items + Gather and submit claims and documents required by Insurance companies...Time Benefits Eligible Positions (30-35 hours per week): + Medical Insurance : Choice of five comprehensive Aetna… more
- New Jersey Resources (Rockaway, NJ)
- …will be eligible to participate in an annual short term incentive program. Benefits: Medical insurance coverage from day 1; 401k vesting immediate. + Employee ... identified safety deficiencies + Perform root cause analyses on claims ; maintain detailed claims data and reporting...insurance and medical plans, including prescription, vision… more
- Covenant Health Inc. (Knoxville, TN)
- …and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing ... Summary: This position works under the direction of the Covenant Medical Group ("CMG") Chief Financial Officer. Responsible for providing leadership, direction,… more
- Evolent (Cheyenne, WY)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are… more
- Owens & Minor (Downers Grove, IL)
- …our success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance , available on first working day + 401(k), ... correctly. + Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals… more
- Elevance Health (Des Moines, IA)
- …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 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for… more
- Children's Mercy Kansas City (Kansas City, MO)
- …internal and external customers, researching account and/or payment issues, generating medical claims , addressing guarantor's concerns about their accounts that ... hospital. Overview This position reports to the Supervisor and/or Manager in Patient Financial Services on the A/R Collections...and 1-2 years experience 1 year prior experience in medical insurance billing, insurance follow-up,… more
- Walgreens (Harrington, DE)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows- up with insurance companies as well as medical providers… more
- LG Energy Solution (Holland, MI)
- …matters, reviewing such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and ... Title: Occupational Health Nurse Reports to: Manager , Health & Safety Location: Holland, MI LG...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… 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