- Actalent (Leonia, NJ)
- …offices. + Utilize the Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to ... experience. + Medical knowledge. + Data entry skills. + Insurance knowledge. + Experience with Medicare , Medicaid,...skills. + Insurance knowledge. + Experience with Medicare , Medicaid, and private insurance verification. +… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …in a dental office or similar setting (preferred). + Knowledge of Medicare , MassHealth, and commercial insurance pre-claims requirements, regulations, and ... All Locations: 20 Maverick Square - Cradock Building Position Summary: The Dental Insurance and Financial Coordinator plays a critical role in the financial health… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services ... support care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- Humana (Harrisburg, PA)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for value-based ... and provider engagement activities for all lines of business + Medicare Advantage experience **Additional Information** This position will require approximately 30%… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Centene Corporation (Clayton, MO)
- …will provide Executive Assistant support to the Chief Executive Officer of Medicare leader. Responsible for leading and providing executive level support for the ... Chief Executive Officer of Medicare in partnership with multiple internal partners to ensure...offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more
- Robert Half Accountemps (Smyrna, GA)
- …* Submit and monitor pharmacy claims to third-party payers, including commercial insurance , Medicare , and Medicaid, ensuring timely reimbursements. * Track aging ... preferably within a healthcare or pharmacy environment. * Comprehensive knowledge of Medicare , Medicaid, and commercial insurance processes related to pharmacy… more
- Bozeman Health (Bozeman, MT)
- …Credit Balance Analyst is responsible for processing refunds for third party insurance , Medicare , Medicaid, and Government-Assisted Programs; for both hospital ... will also be responsible for incoming refund request letters from the insurance company. Candidate will be responsible to research and validate refund request.… more
- Allied Universal (Reno, NV)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim… more
- Humana (Honolulu, HI)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction,… more