... documentation, making efforts to obtain required information, and processing Medicare and Commercial claims per ... initial review and triage of claims tasked for review. Determines coverage, verifies eligibility ...

... . Cost Management Assistant Quick Summary of Position: Assembles daily summary ... years in handling medical claims, working on phone/customer service, administrative support, putting ...

... include but not limited to the following: Review provider claims to determine if they ... Management policies and procedures to assist in ensuring claims are handled per policy and legal requirements ...

... accurately review and rework sensitive, complex medical and hospital claims for our rework project department. The candidates will review and adjudicate claims in accordance with ACAS claim processing guidelines ...

... Analysts and the Reasonable Accommodations team to track and coordinate restricted duty claims for CVS to ... handling workers’ compensation claims and/or equivalent health insurance/TPA experience. Preferred ...

... . Position SummaryReviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Reviews pre-specified claims or claims that exceed specialist ...

... timely claims processing. Contributes to the efficient and accurate handling of medical claims for ... timely claims processing. Contributes to the efficient and accurate handling of medical claims for ...

... Pharmacy Billing/Collections Representative will ensure timely and accurate billing for unbilled claims ... prescription medication using the bill method required by the payer. Transmit or submit claims (paper ...

... Medicaid and/or Medicaid healthcare claims data and regulatory reporting Knowledge of healthcare claims adjudication 2+ years of demonstrated leadership Education Bachelor’s ...

... . Position Summary This is a specialized claims billing role where the client's invoice is based on reimbursement of claims paid to providers and fees associated with the claims savings and possibly ...

... starting at 9am. • Reviews and adjudicates routine claims in accordance with claim processing guidelines. • Analyzes and approves routine claims that cannot be auto adjudicated ...

... , external agencies, and vendors to monitor legislation and regulation impact on claims processing standards ... procedures related to claims processing Work collaboratively with internal and external partners to ...

... issues; design and develop applications, systems, and databases used to process prescriptions, claims ...

... testing; support applications, systems, and databases used to process prescriptions, claims, and related ...

... testing; support applications, systems, and databases used to process prescriptions, claims, and related ...