• Lead Claims Processor , Government…

    Prime Therapeutics (Des Moines, IA)
    …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor , Government Programs **Job Description** Adjudicate or submit ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** + Adjudicate or submit claims and… more
    Prime Therapeutics (07/29/25)
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  • Claims Processor

    Conduent (IA)
    …be part of a culture where individuality is noticed and valued every day. ** Claims Processor (Remote)** Are you detail-oriented with claims experience and ... remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay & Schedule:...of the role. What We're Looking For: + Previous claims processing or related experience + Strong keyboard and… more
    Conduent (07/25/25)
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  • Pharmacy Benefit Manager Invoice Processor

    CVS Health (Des Moines, IA)
    …Manager_ ) **Operations Team** and is responsible for processing PBM vendor invoices and claims . The **PBM Invoice Processor ** is assigned a set of groups to ... claim data and invoice files. + Reconciles and balances claims data and invoices in the claims ...balances claims data and invoices in the claims processing system. + Coordinates client billing and invoice… more
    CVS Health (07/25/25)
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  • Processor , COB Review

    Molina Healthcare (Des Moines, IA)
    …and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Contacts CMS directly or coordinates ... with the Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. **JOB QUALIFICATIONS** **Required Education** HS Diploma or GED **Required Experience** 1-3 years' experience in an administrative support.… more
    Molina Healthcare (07/19/25)
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