- CVS Health (Monroeville, PA)
- …of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable… more
- CVS Health (Woonsocket, RI)
- … adjudication / claims processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , ... At CVS Health , we're building a world of health...**Required Qualifications** + 2+ years of experience with pharmacy claims adjudication and NCPDP standards + 3+… more
- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- MVP Health Care (Schenectady, NY)
- …+ Meets or exceeds department quality and work management standards for claims adjudication . + Successfully completes a course of comprehensive formal ... At MVP Health Care, we're on a mission to create...information. + Is responsible for the timely and accurate adjudication of claims that are suspended to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job ... Essential Qualifications + Knowledge of contracts, medical terminology, and claims processing and procedures. + 1+ year...and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written… more
- McLaren Health Care (Flint, MI)
- …management, training). + Four (4) years' experience in health plan claims , billing or claims adjudication operations for multiple subsidiaries ... + Demonstrated experience in developing adjudication logic to support automated claims processing . + Five (5) years' experience and knowledge of HMO,… more
- Cognizant (Lansing, MI)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... claims and client for issues related to claims adjudication and adjustments, Service Now and...to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
- CHS (Clearwater, FL)
- …insurance companies, employers, and members. In this pivotal role, you'll oversee claims adjudication , drive operational strategy, and ensure high accuracy and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process, including clearinghouses, claims cost control… more
- Cognizant (St. Paul, MN)
- …procedures. Provide support to claims and client for issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic ... Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing...equivalent is required + A minimum of 1 years claims processing is required + Facets experience… more
- CDPHP (Albany, NY)
- …High school diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ... Representative shall assume full responsibility and ownership for all aspects regarding claims adjudication and adjustments. In addition, the incumbent will… more
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