- PedIM Healthcare (Crystal River, FL)
- …update information as necessary. Requirements: Qualifications: High school diploma or equivalent; associate 's degree or relevant certification is a plus. Proven ... Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and… more
- Department of Veterans Affairs (San Diego, CA)
- …Osteopathic Association (AOA) accredited fellowship in their specialty. Board Certification within their specialty. 3 years of supervisory experience. Record ... of academic accomplishments commensurate with the rank of associate or full professor (required for academic appointment of this position). Preferred Qualifications:… more
- Sedgwick (Helena, MT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate l Workers Compensation l Medical-Only l Phoenix, AZ Are you ... with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims ...school diploma or GED required. Licenses as required. AZ certification / license preferred, not required. **Experience** One (1)… more
- Osmose Utilities Services (Atlanta, GA)
- …+ Perform other related duties as assigned. Requirements: + A bachelor's degree or Associate in Claims (AIC) certification is preferred but not required. ... intake, reporting, and follow-up of work-related injury and illness claims . + Assess the classification of each claim... claims . + Assess the classification of each claim (first aid, medical only, lost time, or controverted)… more
- Panasonic North America (De Soto, KS)
- …loss control or claims prevention initiatives in a manufacturing setting **Preferred Certification (s):** + AIC - Associate in Claims - strongly ... with policy and regulatory standards + Maintain and update claim files in the Claims Management System...INS - Certificate in General Insurance + ARM - Associate in Risk Management + OSHA 1904 Recordkeeping Standard… more
- Compass Group, North America (NC)
- …that provide greater leave protection beyond federal laws. + Review medical certification forms to make leave approval/denial decisions in accordance with various ... leave of absences and follows up on required paperwork such as medical certification , request for extended leave, and other required information. + Educates Unit… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate 's Degree - Associate 's Degree in healthcare… more
- Carle Health (Champaign, IL)
- …development of time saving processes or new features. Qualifications Certifications: Epic Certification within 2 months - EPIC, Education: Associate 's Degree: ... Computer Science; Associate 's Degree: Accounting; Associate 's Degree: Finance; Associate 's Degree: Related Field, Work Experience: Revenue cycle… more
- Capital One (Chesapeake, VA)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of ... to solve customer concerns and provide in-the-moment feedback to ensure the associate is connected to the right resources. **_**Successful candidates will need to… more
- Quality Technology Services, LLC (Suwanee, GA)
- …, Microsoft 365 Certified: Fundamentals Certification , Microsoft Office Specialist Certification . + Associate 's degree in computer science, cyber security, ... , Microsoft 365 Certified: Fundamentals Certification , Microsoft Office Specialist Certification . + Associate 's degree in computer science, cyber security,… more
- Humana (Raleigh, NC)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Juneau, AK)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Ochsner Health (Kenner, LA)
- …**Certifications** Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as ... a Medical Assistant (or other medical specialty-based certification ) **Knowledge Skills and Abilities (KSAs)** + Must have computer skills and dexterity required for… more
- Cummins Inc. (Kenly, NC)
- …a diesel technology program or a related technical field. + **Preferred** : Associate degree or certification from an accredited technical school (eg, ... documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system...Cummins-certified training, ASE certification ). + **Why it matters** : Provides foundational knowledge… more
- Rising Medical Solutions (Chicago, IL)
- …thinking & problem-solving experience + A bachelor's degree, or an Associate 's/ Certification with professional experience + A customer service mindset ... CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager + Experience with… more
- Sedgwick (Cincinnati, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Customer Service Associate **This position will be 1:00 PM - 9:00 PM, Monday through Friday ... claimants, and physicians. + Provides effective explanations of benefits, procedures, claim status, or payment information to clients and claimants. + Enters… more
- Mass Markets (Mesilla, NM)
- …are highly motivated and dedicated and should possess the below qualities: + Associate degree, Certification or Equivalent Combination of Training and Experience ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Highmark Health (Montpelier, VT)
- …Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + ... inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly… more
- Towne Park (Indianapolis, IN)
- …+ Associate 's degree or equivalent degree preferred **Required Licensure, Certification , etc.:** + Valid driver's license and clean driving record **Work ... and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and … more
