- Merck & Co. (Rahway, NJ)
- …plan issues with respect to company-sponsored US, Puerto Rico and international health and welfare, pension, savings, life insurance , severance and disability ... - $285,800.00Available 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)
- …- $175,300.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), ... ) will be an integral part of the Human Health Digital and Data Analytics (HHDDA) group. In this...in the role - - Experience working with pharmaceutical/healthcare claims , personal & non personal promotional data. - Minimum… more
- Merck & Co. (North Wales, PA)
- …- $213,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), ... vaccines for the benefit of patients and global human health . Our Quantitative Sciences team uses big data to...uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the… more
- Highmark Health (Pittsburgh, PA)
- …in milestone reviews with the Delivery team. **A d** **eep understanding of the health ** ** insurance ** ** claims process** **will be essential** **.** This ... **Job Description :** **JOB SUMMARY** The Senior Product Manager, Claims will define the product strategy, vision, and value...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Humana (Indianapolis, IN)
- …locations** **with a potential in-office work requirement on occasion.** + 2+ years of health insurance claims experience, such as claims education, ... part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking... first** Humana Healthy Horizons in Indiana is seeking Claims Research & Resolution Professionals who are responsible for… more
- TEKsystems (Minneapolis, MN)
- …terminology (Copays, deductibles, and benefit plans) will help them in this role. Skills: Claims , RxClaims, Pharmacy benefits, Health insurance , Claims ... support, analysis, workflow, claim, Healthcare, Medical Terminology Top Skills Details: Claims , RxClaims, Pharmacy benefits, Health insurance , Claims… 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
- Elevance Health (Rancho Cordova, CA)
- …I meeting expectations on quality and quantity or three (3) years medical claims processing/ health insurance customer service experience or equivalent ... ** Claims Examiner II** UNION POSITION **Location :** This...Cordova, CA office). In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- TEKsystems (Austin, TX)
- … health insurance , provider claims , medical claims processing, health insurance claims , cpc, claims analysis, Medical, payer relations, ... outlook Top Skills Details: Medical billing,Accounts receivable,Claim, Health care,Collection, Insurance ,Medical claim,revenue cycle,medicare, insurance verification,accounts payable,denied claims… more
- USAA (Tampa, FL)
- …Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or health insurance products with an insurance ... seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will… more
- Elevance Health (St. Louis, MO)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...regarding research findings. Health insurance… more
- Elevance Health (MI)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... within 50 miles from one of our posted Elevance Health locations._ Carelon Payment Integrity is a proud member of...fraudulent claims . Health insurance… more
- TEKsystems (Charlotte, NC)
- … health insurance , provider claims , medical claims processing, health insurance claims , claims analysis, Medical, payer relations, payment ... with overall company success. Skills: Medical billing, Accounts receivable, Claim, Health care, Collection, Insurance , Medical claim, revenue cycle, Medicare,… more
- Medical Mutual of Ohio (OH)
- …which includes exposure to provider contracting and/or provider payment structures and health insurance claims , or equivalent relevant experience. Technical ... which includes exposure to provider contracting and/or provider payment structures and health insurance claims , or equivalent relevant experience. Technical… more
- Elevance Health (Plano, TX)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How you will make an impact:** Primary duties may ... the purpose of collecting past due insurance premiums and/or past due health insurance claims . . Researches validity of past due and/or disputed debt. .… more
- Essentia Health (Deer River, MN)
- …communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and ... **Job Description** **Job Description:** Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for… more
- Baylor Scott & White Health (Dallas, TX)
- …health system technologies (EMRs, virtual health , remote monitoring) and health insurance technologies ( claims systems, network management solutions). ... large healthcare system preferred, including provider services, care support functions, and health insurance functions. 8. Ability to lead cross-functional teams… more
- Medical Mutual of Ohio (OH)
- …or PBM, or equivalent experience in healthcare or financial services. . Strong health insurance claims processing and membership systems, database ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...Access, and Power BI) skills. . Knowledge of interfacing health plan data, including membership and claims ,… more
- Elevance Health (Louisville, KY)
- …third party/worker's compensation subrogation files. + Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or ... our Indianapolis, IN, Waukesha, WI, or Louisville, KY Elevance Health PulsePoint locations._ **Shift:** Monday- Friday 10:30am - 7:00pm...diploma or GED preferred, a minimum 2 years of claims or data entry experience; or any combination of… more
- Elevance Health (Rancho Cordova, CA)
- …experience (internal applicants shall have preference over external applicants) or medical claims processing/or other health insurance or equivalent ... ** Claims Examiner I** UNION POSITION **Location :** This...Cordova, CA office). In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
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