- CVS Health (Raleigh, NC)
- …effective communication skills. **What you will do** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… more
- Community Health Systems (La Follette, TN)
- …accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state billing regulations ... **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation,… more
- Commonwealth of Pennsylvania (PA)
- …and Training Requirements: + Two years of experience as a Corrections Records Specialist (Commonwealth job title or equivalent Federal Government job title, as ... Contact Phone ### Contact Email ###@pa.gov + Description + Benefits + Questions THE POSITION Are you ready to...;or + One year of experience as a Records Specialist 2 (Commonwealth job title or equivalent Federal… more
- CVS Health (Hartford, CT)
- …- Hybrid position (onsite in Hartford, CT 3 days per week)** ** Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim ... use multiple systems and screens to obtain and record claim information + Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Franklin, TN)
- …all with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses policy application validity, ... to the efficient and accurate handling of medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and… more
- CVS Health (Oklahoma City, OK)
- …all the way! This is a fulltime teleworker opportunity in Oklahoma. The **Senior Claim Data Specialist ** handles end-to-end processes associated with claim ... related to new business/account implementations. **Fundamental Components:** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- HUB International (Wilmington, MA)
- …own unique, regional culture. We currently have an opportunity for a **Senior Claims Specialist ** . **Overview** : Responsible for servicing assigned accounts on ... : + Provides advocacy for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program as part of… more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...enrollment discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing… more
- Cedars-Sinai (Los Angeles, CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include...**Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC… more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. * Maintains...claims as a refund or auto debit in claim systems and in recovery application. * Follows department… more
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