- Humana (Boise, ID)
- … claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office ... part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical...an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a… more
- WTW (New York, NY)
- …experience in professional services, ideally gained in a benefit consulting/brokerage firm or health underwriting / actuarial function of an insurance company. + ... and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary… more
- The Hartford (Sunrise, FL)
- …- KR08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... and risk management solutions. This role will have a Remote work arrangement, with the expectation of coming into...process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering… more
- Saint-Gobain (Holly Springs, MS)
- …awareness. + **Workers' Compensation:** Partner with HR to administer claims , controls, and hearings for work-related injuries. + **Emergency Preparedness:** ... In this role, your leadership will directly impact the health , safety, and well-being of our employees while ensuring...veterans. Applicants for roles based in Washington state or remote roles that would be worked from Washington state… more
- Arnot Health (Elmira, NY)
- Job Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review ... for concurrent and retrospective authorization and denial activities for Arnot Health . Identify, track and trend, record and collect patient accounts denied… more
- Essentia Health (Superior, WI)
- …the goals and policies of the department are in congruence with Essentia Health . Will work with clinic departments and other departments within ambulatory pharmacy ... **Education Qualifications:** Key Responsibilities: + Supervise non-licensed employees in a remote , virtual setting by creating an environment where people feel… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …is based in Princeton, New Jersey. Otsuka maintains a hybrid work policy and remote options will not be considered for this position. **Job Description** + Support ... KPIs, dashboards, and monthly business reviews. + Analyze sales, claims , patient-level, and field force data to track brand..., patient-level, and field force data to track brand health and identify opportunities to optimize performance. + Partner… more
- NTT America, Inc. (El Paso, TX)
- …and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance , short- and long-term disability ... join our team. Customer Care Associate, providing customer care to Life Insurance policyholders, agents and other customers. **Must Live in Continental United… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Composes responses to internal and external requests for certificates of insurance , certificates of liability coverage, and claims histories. + Assists ... thanks by giving back. As a leader in children's health , we engage in meaningful programs and partnerships throughout...Insurance Program Manager with preparation and coordination of claims under all lines of insurance coverage.… more
- CDPHP (Latham, NY)
- …working in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values… more