- Sharecare (Boise, ID)
- …open enrollment / new hire plan selection, claims issues, ID card issues, grievances / appeals , utilization management (UM) status, including but not limited to ... payers or 3rd parties for:** + Claims adjustments + Grievances and appeals submissions + Utilization management...+ Medical Secretary/Clinic Manager + Medical Coder + Claim Specialist + Health Care Administration + Benefit Specialist… more
- Molina Healthcare (Caldwell, ID)
- …for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances . * Coordinates with Corporate and Business ... Provides training and guidance as needed to the Contract Managers and Contract Specialist (s). * Helps develop and utilize standardized contract templates and Pay for… more