- Humana (Des Moines, IA)
- …elevate your pharmacy career by driving meaningful impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a ... the development of solutions that make a meaningful difference The Senior Pharmacy Claims Professional will play a pivotal role in Pharmacy Financial Recovery … more
- Sedgwick (Des Moines, IA)
- …but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim...Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional… more
- Humana (Des Moines, IA)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more