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Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..
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Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..
... receivables. Research, resolve, and prepare claims that have not passed the ... monthly accounts receivable, and process claims to obtain zero balances. Clear ... aspects of insurance and non-Medicare..
Aon Is Looking For An Account Executive IIIAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of Aon ..
Description The Pharmacy Claims Professional 2 monitors and ensures appropriate ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied ... of action. Responsibilities..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately complex ... factors...
Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..
... Information Kindred at Home Healthcare Claims Denials and Appeals Specialist in ... receivables. Research, resolve, and prepare claims that have not passed the ... monthly accounts receivable, and process..
Job Information Humana Claims Review Representative 2 in Kansas ... Kansas City Kansas Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Job Information Humana Claims Review Representative 2 in Kansas ... Kansas City Missouri Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Overland Park Kansas ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..