- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... Claims Examiner + Serves in a supervisory capacity to other examiners on claims resolution + Develops and delivers training to be used for new claims … more
- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst ... accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities conducted by a… more
- Prime Therapeutics (Raleigh, NC)
- …every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program Analyst ... partners and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position is responsible… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are in search of a remote Revenue Cycle Analyst to join our team. In this role, your main function will be to manage revenue cycle processes which ... balances in a timely manner. * Conduct research on claims denials and complete adjustments accurately and promptly. *...of medical insurance policies and procedures, aiding in claim resolution . Robert Half is the world's first and largest… more
- Highmark Health (Raleigh, NC)
- …group administrators, brokers, and Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, ... claims adjudication, benefits issues, membership and billing activity, etc....experience rated and community rated dental groups.The Client Benefit Analyst is responsible for providing or coordinating prompt support… more
- Honeywell (Charlotte, NC)
- We are looking for an experienced, data-driven Sr. Benefits Analyst to manage our defined benefit (DB) administration and oversight for the Honeywell Retirement ... to ensure the calculations are accurate. Will manage cases supporting the resolution of inquiries, escalations, errors, and requests from participants, such as… more
- CVS Health (Raleigh, NC)
- …of escalations from internal business units to include client management, claims , eligibility, network operations, customer service, audit, and Aetna. The Senior ... Business Analyst is a strong individual contributor with the opportunity...and assemble all data used in making determinations for resolution . + Ensure end-to-end traceability and document timelines. +… more
- Highmark Health (Raleigh, NC)
- … claims processing problems, perform initial problem identification and resolution activities, and debug benefits and medical policy program coding. Document ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Highmark Health (Raleigh, NC)
- …requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes ... review all related relevant documentation and assemble case file. + Coordinate resolution results and relay investigative results with all involved parties. +… more
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