- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - ... for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing… more
- Mass Markets (Killeen, TX)
- …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- CVS Health (MN)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication , troubleshoot claim rejections, claim reversals, allocation ... The Copay Support/Claims Processing Specialist is a critical role within the organization...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity.… more
- Cognizant (Malvern, PA)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific...to claims and client for issues related to claims adjudication and adjustments. You will be a valued member… more
- Capital One (Richmond, VA)
- Manager- Criminal Background Screening Adjudication & I9 Team As the Manager of our I9 logistics and criminal background screening adjudication teams, you will ... + Lead process team's execution and adherence for background screening adjudication across the enterprise for all associates and contractors + Collaborate… more
- IQVIA (Durham, NC)
- …of projects as assigned by CEVA (Clinical Event Validation and Adjudication ) management, covering single or multiple CEVA functions. Provide leadership and ... and transparent program for customers in areas of endpoint adjudication committee coordination, core laboratory coordination, DSMB administration, and steering… more
- AdventHealth (Apopka, FL)
- …activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication , prior authorization, pharmacy specialist , and technician quality ... order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription clarification processes… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert ... support of the growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing opportunities for the… more