- Elevance Health (Norfolk, VA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Walmart (Chesapeake, VA)
- …prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to ... the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting patients/members with prescription… more
- Elevance Health (Norfolk, VA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Walgreens (Chesapeake, VA)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... positive patient experience. Serves as a full-time certified pharmacy technician . + Responsible for operating pharmacy systems to obtain...Follows-up with insurance companies as well as medical providers and conducts… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …of various insurances/requirements and stay abreast of changes + Submit electronic and paper claims to appropriate insurance payers + Follow up in a timely ... manner on unprocessed and/or unpaid claims until resolution is reached by working work queues...of hospital billing and follow-up Certificates, Licenses, Registrations Applicant must be a Certified Patient Account Technician (CPAT) at… more
- Elevance Health (Norfolk, VA)
- …large data files and other general reporting tools preferred. + Pharmacy technician license and/or experience preferred. + Experience working in a highly organized ... and short turnaround times preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager… more