- 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
- Molina Healthcare (Tucson, AZ)
- …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
- Molina Healthcare (Layton, UT)
- …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
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...mail (emails, USMail) from pharmacies, patients, Sites of Care, Health Care Providers, copay vendors (PDMI, FHA and Merchant… more
- AdventHealth (Maitland, FL)
- … claims for all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- CVS Health (Harrisburg, PA)
- …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
- Health Care Service Corporation (Chicago, IL)
- …Investigator + Certified Professional Coder + Certified Fraud Examiner + Knowledge of health care claims processing and benefit administration. Please note ... years healthcare fraud investigative experience. + Familiarity with laws applicable to health care fraud. + Ability to develop effective liaison relations which… more
- AdventHealth (Maitland, FL)
- …measurement, and claims analytics Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… 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
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