- IQVIA (Phoenix, AZ)
- …for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will ... **Experienced Patient Support Medical Claims Processing Representative** _Contract Remote...+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Commonwealth of Pennsylvania (PA)
- …the opportunity to negotiate with insurers and healthcare providers for disposition of claims , represent the agency at mediation and court proceedings, and ... Medical Malpractice Claims Examiner 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4762417) Apply Medical...Telework: You may have the opportunity to work from home (telework) part-time. You will be required to report… more
- HomeSafe Alliance (Columbus, OH)
- …to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed. + Perform ... **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_** is the...their families. When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …requirements for billing, including complete patient and insurance information; completes paper claim processing in a timely and accurate manner. + Resolves ... a seamlessly connected system offering quality care close to home . From basic health needs to the most complex,... process through submission of both electronic and paper-based claims , resolution of claim -form edits and validation… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Modivcare (Denver, CO)
- …completeness. + Requests additional information, where necessary, for completion of claim processing . + Coordinates and processes documentation, invoice dispute ... combination of education and/or experience. + Strong understanding of claims processing and ability to make informed...to detail and proficient data entry skills for accurate claim processing . + Intermediate proficiency of Microsoft… more
- Fallon Health (Worcester, MA)
- …LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding ... the office in Worcester, MA and 2 days working at home .** **About us:** Fallon Health is... claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest… more
- The Cigna Group (Bloomfield, CT)
- …of database management systems (DB2, SQL Server), preferred If you will be working at home occasionally or permanently, the internet connection must be obtained ... Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim...years of experience as a subject matter expert for claims system configuration, processing , reporting, issue triage… more
- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... expected. Key Competencies and Responsibilities: + Adjudicate and settle claim according to fair claims practices. +...At minimum, the successful candidate must have their home state Adjuster's license and must be willing to… more
- Prime Therapeutics (Columbus, OH)
- …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... pharmacies to drive timely and accurate documentation receipt and review + Analyze pharmacy claims to identify those at the highest risk for error; utilize… more
- Lincoln Financial Group (Columbus, OH)
- …Phoenix, AZ (Arizona); Work from Home **Work Arrangement:** Hybrid/Flexible : Work at home and use the office as appropriate for in-person collaboration. ... available for this opportunity. **Requisition #:** 74070 **The Role at a Glance** We are excited to bring a...cost reductions. Develops and recommends mitigation plans. + Ensures claims processing is consistent with applicable policies,… more
- Humana (Green Bay, WI)
- …Claims Research & Resolution Representatives will be fully trained on all corrected claims processing and reprocessing. **Use your skills to make an impact** ... City Center, Jacksonville, FL 32034 + **1 year CAS claims processing experience** + Ability to manage...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- Sedgwick (Baltimore, MD)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... Taking care of people is at the heart of everything we do, and...service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Arizona Public Service (Phoenix, AZ)
- Claims Adjuster I / II | Liability & Property...Employees in hybrid roles will work both in their home offices and alongside their colleagues at an ... for Tomorrow, Empower Each Other and Succeed Together. Summary Claims Adjuster I / II | Liability & Property...to work about 40% of their time in person at an APS or other (non- home office)… more
- University of Rochester (Rochester, NY)
- …informed of trends. Remains current on changes in billing requirements associated with claim processing and coding. Qualifications: Associate degree and 2 years ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . Follows established procedure for missing insurance… more
- TEKsystems (Troy, MI)
- …ability to solve a problem (in this case the claim ) - active internet connection at home , if they are to work a hybrid schedule in the future NICE TO ... Description Start Date: 2/21 Group Interview Date: 2/6 at 1pm Hours: 8am to 4:30pm during training,...6 months. Loss Drafts Associates will assisting customers with claims on their homeowner's insurance. The specialist manages the… more
- HomeSafe Alliance (Columbus, OH)
- …trends and performance. + Identify and resolve challenges and issues related to claims processing . + Perform other duties as assigned **Qualifications:** + ... their families. When you become part of our team at HomeSafe Alliance, your opportunities are endless. Through internal...administration of claims in dispute. + Analyze claims data and prepare reports on claim … more
- Sutherland Global Services (Columbus, OH)
- …and beyond. What you will be doing as a Claims Examiner: + Work independently, processing claims via data entry for 90% of your day. + Be responsible for ... how much money will be paid after an insurance claim has been examined. This is not a customer...is a data entry position where you will be processing medical claims per the specific client… more