- Prime Therapeutics (Lansing, MI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description Summary** This position is responsible ... and questions. + Answers incoming calls on eligibility, program benefits , plan limitations and point of sale edits from...edits from providers. + Proficient use of enrollment and claims point of sale for research and problem resolution.… more
- Prime Therapeutics (Lansing, MI)
- … Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role is responsible for the operational support of ... promote client and member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to ensure team member's knowledge… more
- CVS Health (Lansing, MI)
- …clients and the stop loss administrators. Reviews and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed ... carrier. Required Qualifications * 1+ years of experience in claims processing background preferred * 1+ years of experience...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CVS Health (Lansing, MI)
- …This challenging role provides exposure to virtually all aspects of healthcare claims administration , from: reinsurance/ s top l oss, data analytics, provider ... + Minimum of 1 year of experience in healthcare claims processing + Minimum of 1 year of experience...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Highmark Health (Lansing, MI)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more