- Conduent (Helena, MT)
- …is noticed and valued every day. Medicaid Member Support Call Center CSR This is a remote position - must be able to work MST business hours Hours: Monday - Friday ... opportunity to learn Medicaid member support and the medical eligibility and claims process! **Summary:** + Using a computerized system, responds to Montana Medicaid… more
- Marshfield Clinic (Marshfield, WI)
- …missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist ( Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** 40 ... as a pharmacy technician with knowledge of electronic pharmacy claims processing. Demonstrated proficiency with customer service skills. **Preferred/Optional:** One… more
- Mount Sinai Health System (New York, NY)
- …**Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director, Pre Appeals Management is a strategic ... + Insurance: Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …recommending tailored solutions to protect their financial interests. This is role is remote ; however, it will require travel and in person meetings with health ... Collaborate with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote . Note: This description indicates, in general terms, the type and level of… more
- Mass Markets (CA)
- POSITION OVERVIEW REMOTE CUSTOMER SERVICE REPRESENTATIVE Looking for opportunities to work for a rapidly growing company? We are looking for call center ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Community Health Systems (Franklin, TN)
- …+ Excellent problem-solving and analytical skills to research and resolve outstanding claims . + Effective verbal and written communication skills to interact with ... insurance payers, patients, and internal teams. + Strong attention to detail with the ability to document account activity accurately. + Ability to work independently in a fast-paced environment while meeting productivity and quality standards. + Knowledge of… more
- The Cigna Group (Bloomfield, CT)
- …skills, experience with Databricks and GitHub a plus + Knowledge of Cigna claims systems and/or standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, ... and HCPCS strongly preferred + Strong analytical and problem-solving skills with a proven track record of success + Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines + Highly organized and… more
- Organon & Co. (Plymouth Meeting, PA)
- …group mailbox, responding to customer inquiries related to order monitoring, damage claims , product shortages, and other service needs. * Perform monthly audit ... responsibilities in cooperation with finance partners. * Ensure compliance with company policies, procedures, regulatory requirements, and 3PL agreements. * Collaborate with cross-functional teams and 3PL partners to optimize the order to cash cycle and… more
- Bowman (Springfield, IL)
- …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... not limited to accounts payable, financials, timesheets, etc. + Assist with annual financial audit preparation as needed. **Success Metrics and Competencies** + Ability to work both independently and within a team environment. + Ability to effectively… more