- BrightSpring Health Services (Englewood, CO)
- …in a timely manner; establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837. + ... Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. + Negotiate payment plans with… more
- CVS Health (Olympia, WA)
- …will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating ... customers about their benefits and claims while resolving issues and directing them to helpful...email correspondence depending on role. + 1+ years of claims , provider, dental, medical or other related healthcare experience.… more
- CVS Health (St. Paul, MN)
- …of about 12-15 colleagues who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop Loss Carriers, follow up, ... peers as necessary **Required Qualifications** * Minimum 5 years operations ( claims , eligibility, plan setup, implementation) or related field; stop loss/reinsurance… more
- Insight Global (Woonsocket, RI)
- …aligned with business value and user needs. You must have experience in claims databases and supporting a technology environment that has transitioned from mainframe ... to cloud or supported an AI environment around claims databases. We are a company committed to creating diverse and inclusive environments where people can bring… more
- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- Molina Healthcare (ID)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Beth Israel Lahey Health (Charlestown, MA)
- …back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and ... changes in support of all Epic Resolute Professional Billing, Claims , Remittance, and Router applications including ongoing production maintenance, upgrades,… more
- Dartmouth Health (Lebanon, NH)
- …Pharmacy Technician Certified I. This is a Full Time, 40hr per week, benefitted remote position. Dartmouth is the best where it matters most! DH Offers You: ... for verification by a pharmacist. * Processes third party claims . * Performs in the call center, mail order...or Specialty Pharmacy if required to administer immunizations * Remote :Fully Remote * Area of Interest:Allied Health… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system...to sit for long periods of time. . 100% remote but if local may include some travel to… more