- Elevance Health (Lake Mary, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- TelCom Construction (Rochester, MN)
- …supports and documents accident investigations + Assists with investigating and administering property and utility damage claims in a timely and professional ... health (including policy recommendations, education and communication) + Insurance claim assistance (including documentation and investigation) **Actual job duties… more
- Lowe's (Mooresville, NC)
- …+ Performs specialized paralegal tasks based on attached practice area including claim review and issue recognition, investigating and responding to Notices of ... Violation, intellectual property docket management, review of and analysis of redlines...restrictions, etc.), Customer and employee accessibility, employee and customer claims , etc. + Investigates and prepares responses to due-diligence… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the entire chargeback process, ensuring accurate and timely processing of claims , managing team performance, and maintaining compliance with industry regulations and ... + Operational Excellence + Oversee the complete chargeback lifecycle, including claim validation, processing, reconciliation, and dispute resolution. + Serve as the… more
- Elevance Health (Lake Mary, FL)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- HUB International (Raleigh, NC)
- …global insurance and employee benefits broker, providing a broad array of property , casualty, risk management, life and health, employee benefits, investment and ... experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and… more
- Elevance Health (Mason, OH)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... and specialty care procedures. + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- WSP USA (Houston, TX)
- …reducing schedule risks, and maintaining alignment with project baselines. + Lead claims avoidance strategies and provide technical documentation in support of legal ... + Experience resolving high-stakes technical disputes and supporting litigation or claim strategies. + Ability to influence executive stakeholders and contribute to… more
- AssistRx (Maitland, FL)
- …+ Submitting billing data to appropriate insurance providers + Processing claims and resolving denial instances + Achieving maximum reimbursement for services ... provided + Completing Medicare and Commercial insurance claim submission. + Documenting and reporting payment information. +...other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid… more
- Elevance Health (Richmond, VA)
- …role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and ... with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing… more