- WALGREENS (Rochester Hills, MI)
- …Labor. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician ... pharmacist, including those to physicians. * Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- WALGREENS (South Yarmouth, MA)
- …to the medical provider, as needed, to ensure medication is taken correctly, health needs are addressed, and patient is satisfied with service. * Performs pharmacist ... technology. Finds opportunities to improve productivity * Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- WALGREENS (El Paso County, CO)
- …scheduling options to fit your lifestyle For Your Family - Comprehensive Health & Wellness Benefits * Comprehensive benefits package including medical, prescription ... Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs * Family-forming support -...* A problem-solver - You navigate challenges, from insurance claims to medication management, with ease Apply Today &… more
- WALGREENS (Empire, MI)
- …of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law. * ... Quality Improvement Program. * Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with… more
- NTT DATA North America (Chicago, IL)
- …join our team in **Chicago, IL** **Role Responsibilities** + Process and adjudicate health , dental, and vision insurance claims with precision and efficiency + ... that can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with complex … more
- DXC Technology (Nashville, TN)
- …practices to enhance customer experience and enable long-term transformation. Responsible for claims services and adjudication of health and disability insurance ... compliance, and high-quality service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing, learning from… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the ... to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health... Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of … more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... experience of at least 1+ year(s) with exposure to Accident and Health claims preferred, and/or, sickness and accident benefits type injury claims or… more
- The Cigna Group (Bloomfield, CT)
- …in Evernorth Behavioral Care Specialist/Advocacy role preferred + Experience handling behavioral health claims and provider relations calls is a plus + ... The Claims & PR Advocate is a **phone queue-based...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Stanford Health Care (Palo Alto, CA)
- …Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care ... Tri-Valley, and Stanford Children's Health . Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful… more
- Stanford Health Care (Palo Alto, CA)
- … & Litigation Strategy, the Claims Manager oversees the workers' compensation claims program for Stanford Health Care, Stanford Health Care Tri-Valley, ... Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under the direction...and Stanford Children's Health . The Claims Manager acts as the primary liaison with the… more
- Highmark Health (Topeka, KS)
- …activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now ... degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar … more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of all ... + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned health system with four award-winning hospitals and… more
- Molina Healthcare (Spokane, WA)
- …filing. * Scans, prints, uploads and maintains departmental documents/images for multiple health plans using multiple applications. * Meets claims department ... Office suite and applicable software programs proficiency. **Preferred Qualifications** * Health care claims /billing experience. To all current Molina employees:… more
- Molina Healthcare (Iowa City, IA)
- …Office suite and applicable software programs proficiency. **Preferred Qualifications** * Health care claims /billing experience. To all current Molina employees: ... JOB DESCRIPTION Job Summary Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing… more
- Molina Healthcare (Buffalo, NY)
- …Excel), and applicable software programs proficiency. **Preferred Qualifications** + Health care claims analysis experience.Project management experience. + ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements… more
- Molina Healthcare (Albany, NY)
- …Office suite and applicable software programs proficiency. **Preferred Qualifications** + Health care claims auditing/billing experience. To all current Molina ... JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste,… more
- Healthfirst (NY)
- …not limited to new product implementation, regulatory initiatives, and other various health plan business objectives_** + **_Serving as an advocate for Hospital ... + **_Direct experience working with managed care operations and//or health plans_** + **_Claims experience including root-cause analysis, system set-up,… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews and… more
- Humana (Seymour, IN)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty ... claims , submitted either via paper or electronically. The ...Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
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