- Highmark Health (Phoenix, AZ)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- Prime Therapeutics (Phoenix, AZ)
- …into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties ... responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. + Informs...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Prime Therapeutics (Phoenix, AZ)
- …into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties ... responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. + Informs...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more