- Novo Nordisk Inc. (Plainsboro, NJ)
- …US, real-world data sources and analytical methods, including registry-based studies, electronic health records, and claims data analysis Proven experience in ... most diverse and collaborative groups within the organization. From health -care-provider interactions and developing and implementing regulatory strategies with the… more
- Merck & Co. (Rahway, NJ)
- …history; prepare documents for internal review, including the preparation of allowed claims and payment of issue fee-Independently draft and/or prepare responses to ... Center - Proofread granted patents, with particular attention to the granted claims and application data and prepare certificates of correction where necessary -… more
- Merck & Co. (Rahway, NJ)
- …external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs provide to ... States Federal Drug Administration (FDA), Office of Inspector General (OIG), Health Insurance Portability and Accountability Act (HIPAA) and other ethical… more
- Merck & Co. (Rahway, NJ)
- …big data to analyze the safety and efficacy claims of potential medical breakthroughs.Support statistical programming activities for ... $180,500.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… more
- Merck & Co. (North Wales, PA)
- …the company's areas of interest-*Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product.-- Regional Medical Scientific ... $285,800.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring a dynamic, innovative leader to our Supplemental Health Claims Team! This position will manage a team and processes for Group ... of more complex claims . If you are passionate about Supplemental Health Claims , please read on! **What you'll be doing** + Maintains knowledge on current… more
- Lincoln Financial Group (Columbus, OH)
- …Role at a Glance** We are excited to bring on a highly motivated Lead Supplemental Health Claims Associate to our Lincoln team! As a Lead Supplemental Health ... Associate, you will provide coaching, mentorship, and direction to our team of claims specialists. You may also deliver training to new team members. You will be… 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 ... providing world class service to external and internal customers. + Handle Accident & Health claims as part of the A&H team, handling claims such as A&D,… 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 ... claims experience of at least 5+ year(s) with exposure to Accident and Health claims , which include sickness and bodily type injury claims or any related… more
- Elevance Health (Virginia Beach, VA)
- …ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. A ** Claims Representative** is responsible for successfully completing ... for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied...DC), New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- The Cigna Group (Sacramento, CA)
- …setting preferred. . Knowledge of CPT/ICD-10 codes preferred. . Proven experience in health insurance claims processing or similar field preferred. If you will ... ** Claims Representative - Remote** **SUMMARY** The claims...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- UPMC (Pittsburgh, PA)
- The DMR Claims Service Specialist I is responsible for the resolution of Health Plan Subscriber submitted claims . In this role you will validate the ... information on all medical claims submitted by UPMC Health Plan members seeking out of network reimbursement. You will thoroughly review claims to ensure… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …combination of education/training and experience. . 7 years progressive experience in health insurance claims operations, preferably in a leadership capacity. ... **Technical Skills and Knowledge:** . Strong knowledge of health insurance claims processing policies and procedures, benefit regulations and accounting… more
- Prime Healthcare (Victorville, CA)
- …- Qualifications Education and Work Experience + 2-3 years relevant experience in health care claims and customer service. + Knowledge of Medical Terminology, ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Claims Examiner processes routine and non-routine … more
- Scripps Health (San Diego, CA)
- …been with Scripps Health for over 10 years. The Director of HMO Payment ( Claims ) Services for Scripps Health Plan, leads claims payment team and ensures ... of which in leadership. * Expertise is California DMHC claims regulations, NCQA regulations and health Plan...California DMHC claims regulations, NCQA regulations and health Plan experience. * Strong technical aptitude for computer… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving...+ Experience with paper and electronic billing for various health insurances, including knowledge of hospital and professional claim… more
- Humana (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... that require independent initiative and judgment. Tampa Office The Claims Research & Resolution Representative 2 + Works with...insurance and many other opportunities. **About Us** About CarePlus Health Plans: CarePlus Health Plans is a… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and… more
- HCA Healthcare (Austin, TX)
- …you will be responsible for maintaining and ensuring filing and payment of employee health and safety claims , managing billing for Employee Health patients ... join an organization that invests in you as a(an) Claims Coordinator? At St. David's Healthcare, you come first....Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- TEKsystems (Las Vegas, NV)
- …in a call center team environment. Required Skills & Abilities: + Medical claims / Health insurance/Benefits experience is required. + Knowledge of HFCA 1500 & ... service, document the claim system, work with the Supplemental Health and Limited Medical Benefit products, and perform well...and enter the information needed to enter and process claims accurately and in a timely manner. + Record… more
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