- DXC Technology (Nashville, TN)
- …service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing , learning from experienced team members ... year in a similar role. + Proven experience in health and disability claims adjudication ... adjudication or related work. + Proficiency in claims processing , adjudication , and process… 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
- AssistRx (Phoenix, AZ)
- …reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication , troubleshoot claim rejections, ... teams on enrollment discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data… more
- MVP Health Care (Rochester, 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
- Highmark Health (Harrisburg, PA)
- …the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special ... benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of...field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. +… more
- NTT America, Inc. (Little Rock, AR)
- …principles * Minimum of 9 years of experience in Medicaid Claims Adjudication , including understanding of claims processing workflows, adjudication ... expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability...Minimum 10 years of experience in supporting or developing Health Care systems * Minimum 9 years of experience… more
- CVS Health (Hartford, CT)
- …and leading modernization efforts. + Strong understanding of regulatory compliance in claims processing . ** ** **Preferred Experience** + Excellent communication ... At CVS Health , we're building a world of health...modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication , and operational reporting. This… 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
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB ... EOPs, SPPs, and pharmacy receipts. Information is entered into adjudication systems as required. Claims are paid...a high-volume processing setting (ie, doctor's office, claims processing department, etc.) a plus. +… more
- CVS Health (Annapolis, MD)
- …quality assurance, and compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal ... At CVS Health , we're building a world of health...each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims… more
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