- Lincoln Financial (Richmond, VA)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Elevance Health (Richmond, VA)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- CVS Health (Richmond, VA)
- …regarding urgent processing, pricing disputes, and escalated issues. + Manage pending claims , claim follow -ups, and complex claim research scenarios, and serves ... **Required Qualifications** + 2-4 years of experience in health insurance and claims . + Ability to work...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Elevance Health (Norfolk, VA)
- **PBM Compliance Manager ( Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **PBM Compliance Manager ( Claims Audit)** is responsible for coordinating pharmacy compliance activities and initiatives… more
- USAA (Chesapeake, VA)
- …comprehensive medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid holidays ... Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing,… more
- Cognizant (Richmond, VA)
- …following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off . ... the role** As a Cardio Accounts Receivable Physician - Follow Up, you will make an impact by performing...**Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. **Salary and Other Compensation** : Applications will… more
- University of Virginia (Charlottesville, VA)
- …assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental ... Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues...insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- Mass Markets (VA)
- …established ourselves as a trusted partner in the industry. We are hiring licensed insurance agents who are positive, persuasive, and have the drive to succeed. In ... + Accurately document and process customer orders in appropriate systems + Follow all required scripts, policies, and procedures + Comply with requirements… more
- UNUM (Richmond, VA)
- …Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across ... Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant… more
- Elevance Health (Norfolk, VA)
- …network management input and dollar volume of provider. + Analyzes data to select claims to be reviewed, conducts reviews using medical charts, medical ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Provider Auditor** conducts on-site reviews of … more
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