- CVS Health (Raleigh, NC)
- …effective communication skills. **What you will do** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… more
- CVS Health (Raleigh, NC)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Raleigh, NC)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Cardinal Health (Raleigh, NC)
- …Receivable Specialist II is responsible for verifying patient insurance and benefits , preparing and submitting claims to payers, correcting rejected ... claims using billing software including electronic and paper claim processing + Following up on unpaid claims...per hour - $32 per hour **Bonus eligible:** No ** Benefits :** Cardinal Health offers a wide variety of … more
- Guidehouse (Raleigh, NC)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Allied Universal (Garner, NC)
- …the communities and customers we serve. As a **Security Officer - Flex Alarm Panel Specialist ** in **Garner, NC** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. Join Allied...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Allied Universal (Raleigh, NC)
- …the communities and customers we serve. As a **Security Officer - Government Patrol Specialist ** in **Raleigh, NC** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Allied Universal (Cary, NC)
- …the communities and customers we serve. As a **Security Officer - Healthcare Patrol Specialist ** in **Cary, NC** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Allied Universal (Cary, NC)
- …the communities and customers we serve. As a **Security Officer - Unarmed Patrol Specialist ** in **Cary, NC** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Allied Universal (Morrisville, NC)
- …the communities and customers we serve. As a **Security Officer - Unarmed Patrols Specialist ** in **Morrisville, NC** , you will serve and safeguard clients in a ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As an...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Cardinal Health (Raleigh, NC)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Adecco US, Inc. (Morrisville, NC)
- …life insurance, short-term disability, additional voluntary benefits , EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees ... management program experience. . HSA (Hard Skills Assessment) What's in this Claims Examiner Workers Compensation position for you? **Pay:** $38/hr. **Shift:** 8:00… more