- Endeavor Health (Glenview, IL)
- …contacting third party payers to assist in the proper processing of prescription claims and prior authorizations Provides administrative support to the pharmacy ... department in regards to invoice processing, regulatory compliance and purchasing optimization Processes and reconciles pharmacy payments and manages pharmacy accounts receivables Performs various pharmacy-related tasks to help maintain pharmacy efficiency and… more
- Zoltek-Toray Group (St. Louis, MO)
- …Summary The Senior HR Generalist delivers strategic and hands-on HR support across US sites, overseeing recruitment, onboarding, engagement, compliance, and employee ... with leadership to drive talent strategies, enhance employee experience, and support data-driven HR initiatives. This position requires an extremely self-motivated… more
- Defense Health Agency (Fort Drum, NY)
- …of active component units assigned to the installation, providing administrative and logistical support to tenant units, support to active and reserve units from ... services in training at Fort Drum, and planning and support for the mobilization and training of almost 80,000...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
- TAGHLEEF INDUSTRIES (Newark, DE)
- …consultation with customers, especially in times of technical difficulties, during claims investigations with sales team. Participate in business development team ... the labels films design, production, conversion, application, marketing and selling. Support Sales with correct company and product value propositions and training… more
- BJC (St. Louis, MO)
- …start with establised referral base Dedicated Medical Assistant and an experienced support staff Flexible scheduling that offers a work/life balance Monday through ... on the hospital campus Electrophysiology and Heart Failure Clinic on campus Strong support from the on-site cardiac and vascular team Shared call schedule of 1:6… more
- BJC (St. Louis, MO)
- …on Telegraph Rd. Experience the benefits of a smaller practice with the support of a large referral network. Position Highlights: 100% outpatient primary care ... practice 36 patient facing hours, Monday through Friday with schedule flexibility Strong support staff After hours call provided by nurse triage and Virtual Care… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... reports on utilization trends, outcomes and quality indicators to support decision-making and process improvement initiatives. Reports to appropriate committees.… more
- Advent Medical Group West Florida (Tampa, FL)
- …participate with AHMG Leadership in its investigation of patient complaints and/or claims related to the stated practices Advise AHMG leadership relating to the ... the Practice Provide recommendations for in-service training of practice staff to support clinical outcomes. Advise on the provision of inpatient services for… more
- Buckeye Community Health Plan (Thornville, OH)
- …to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to ... ad hoc committees. May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: Medical Doctor or Doctor of… more
- BJC (St. Louis, MO)
- …401k & a 457b deferred compensation plan Generous Relocation package Claims made malpractice insurance with tail coverage provided Community Information: St. ... legal, ethical and professional standards. Collaborates and teaches advanced practice providers, support staff or any care team member assigned in the care of… more
- ICW Group (San Diego, CA)
- …why you want to be here! **PURPOSE OF THE JOB** The purpose of the Claims Support Representative is to oversee administrative processes within the Claims ... email account and processes requests. + Provides backup assistance to claims support teams. + Other duties and projects as assigned. **Performs responsibilities… more
- Marriott (Bethesda, MD)
- …**Pay Range:** $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims ... international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and… more
- ICW Group (Philadelphia, PA)
- …Manages group email account and processes requests. + Provides backup assistance to claims support teams. Performs responsibilities required in branch offices as ... this job is to oversee administrative processes within the Claims department. This position exists to alleviate the administrative...the calendar year * Want to continue learning? We'll support you 100% _ICW Group is committed to creating… more
- Aflac (Windsor, CT)
- Claims Support Coord (Hybrid - Windsor, CT) The Company: Aflac Columbus The Location: Windsor, CT, US, 06095 The Division: PLADS Job Id: 8631 Salary Range: ... combination of education and experience Principal Duties & Responsibilities * Assists claims team partners by leveraging systems and documented processes to complete… more
- Robert Half Office Team (Shreveport, LA)
- Description We are looking for a detail-oriented Claims Admin Support Specialist to join our team in Shreveport, Louisiana. This is a long-term contract position ... that involves performing a variety of clerical tasks and administrative support duties in an organized office environment. The ideal candidate will thrive under… more
- AssistRx (Phoenix, AZ)
- The Copay Support / Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... reimbursement, Sites of Care and Health Care Providers. The Copay Support / Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim… more
- IQVIA (Phoenix, AZ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- TEKsystems (Parkersburg, WV)
- …customer service as a priority. + Enters new loss report information and updates claims documentation. Top Skills Details Customer Support Claim Support ... Description: + Performs support and administrative functions, including answering phones, filing,...working knowledge of policies and procedures, verifies and provides claims information, and offers initial services. + Handles all… more
- ICW Group (Sacramento, CA)
- …specific areas within claims such as **Audit, Compliance, and Claims Support .** **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Provide Strategic Leadership, ... Focus** . + Develop and execute strategies that align audit, compliance, technical claims management, and support functions with organizational goals for … more
- Dragonfly Health (Mesa, AZ)
- …tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims ( Support Services) Manager. 11. Support Call Center leadership in ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
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