including medical necessity for durable medical equipment appeals, subrogation, APC claims, vendor edits, and rental network... outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps...
performance metrics. Supervises member identification/support processes by directing the processing of insurance claims, assigning... groups and improve claims and referral operating efficiency; providing analysis support on claims and referral processes...
effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards..., CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits...
Supervisor is responsible for ensuring accurate and timely payroll processing and maintaining the integrity of payroll and data..., and internal reporting requirements. The Payroll Supervisor partners closely with Human Resources and the Finance Department...
Supervisor is responsible for ensuring accurate and timely payroll processing and maintaining the integrity of payroll and data..., and internal reporting requirements. The Payroll Supervisor partners closely with Human Resources and the Finance Department...
connected with your field supervisor for ongoing support, guidance, and mentorship. Essentials for this Role: PI License..., CoventBridge offers the opportunity to work remotely with flexible scheduling, advanced tools, and the support of a nationwide team...
connected with your field supervisor for ongoing support, guidance, and mentorship. Essentials for this Role: PI License..., CoventBridge offers the opportunity to work remotely with flexible scheduling, advanced tools, and the support of a nationwide team...
organization. Let’s be better together. Position Summary This position will provide support to the Medical Management team... of medical terminology and coding, state and federal regulations for claims adjudication and provider contracting. Knowledge...
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical... development by monitoring one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor...
Supervisor. The Branch Client Service Manager II directly contributes to key business outcomes such as client retention, client.... About You Required: Bachelor's degree with 3+ years client service and/or claims management experience -OR- High School degree/GED with 8+ years...
outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps... and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups...
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical... development by monitoring one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor...
outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps... and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups...
communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager. Operations Counsels patients..., generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure...
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical... development by monitoring one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor...
communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager. Operations Counsels patients..., generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure...