- CVS Health (Phoenix, AZ)
- … Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Analyst will identify ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- UPMC (Pittsburgh, PA)
- …+ Bachelor's degree or equivalent experience. + Minimum of five years of health insurance, medical claims processing , claim adjustment; coordination of ... **Purpose:** Provide technical and plan support to claims examiners and adjustment/COB staff. Assist with development...with development and training of team members. Process VIP claims and adjustments. Resolve customer concerns as needed. Assume… more
- Molina Healthcare (Nampa, ID)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- CVS Health (Monroeville, PA)
- …+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …on annual fixed funding base. Incumbent is responsible for assuming dual responsibility for processing routine and complex health claims as well as providing ... service for assigned accounts and for assuming primary responsibility for processing routine complex health claims on multiple assigned accounts. Acts as a… more
- CVS Health (Springfield, IL)
- …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- Independent Health (Buffalo, NY)
- … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more
- Arnot Health (Elmira, NY)
- …information.* 4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing , waiting period, qualifying ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is an on-site, full time ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...We are all about our team members growth and health . That why we prioritize work/life balance, community-based wellness… more
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