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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 ..
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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 The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Pittsburgh Pennsylvania Description ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
Aon is looking for an Account Executive in Philadelphia As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part ..
... the daily management of liability claims filed against Comcast and its ... and its insured entities. Directs claims management and cost containment activities ... Core Responsibilities Manage complex/higher exposure..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy ... for payment. The Senior Pharmacy Claims Professional work assignments involve moderately..
... and risk management solutions to professional firm prospects and clients. Insurance ... clients. Insurance solutions would include professional liability, employment practices, management liability, ... differentiate market dynamics (coverage, appetite,..
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..
Aon is looking for a Claims Preparation Team LeaderAs part of ... Pennsylvania. Your impact as a Claims Preparation Team LeaderJob Responsibilities:Service Planning ... demonstrated through documentation, correspondence, and professional..
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..
... is looking for an Underwriting Professional II! In the Underwriting Professional II role, as part of ... etc.Review and analysis of policy claims experience.Maintain insured files and clearly .....
... Luzerne/Northumberland Company: Travelers Insurance Category: Claims Location: Pottsville, Pennsylvania Tweets by ... training to advance to Claim Professional, Outside Property. This position is ... investigating, evaluating, negotiating and resolving..
Surety Account Specialist in Philadelphia!Our Philadelphia Pennsylvania office is looking for an entry level candidate who is well organized, detail oriented, enjoys the teamwork environment and is a process driven business ..
... is looking for a Casualty Claims ConsultantWe currently have a great ... career opportunity for a Casualty Claims Risk Consultant in our Philadelphia ... the responsibility of the Casualty..
Job Description CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Insurance Collections Representative to handle insurance follow up. The Insurance Collections ..
... we are a leading global professional services firm providing a broad ... standards Establish basic understanding of claims administration process Drive utilization of ... economy. We provide risk transfer,..
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..
... utilization reports, carrier reports, and claims data & trends.COBRA, HIPAA, 5500’s ... reporting.Proposal & report preparation and presentation.Claims issues & administrative problems.Carrier/client relations.Additional ... (NYSE:AON) is a leading global..
... Area Company: Travelers Insurance Category: Claims Location: Blue Bell, Pennsylvania Tweets ... training to advance to Claim Professional, Outside Property. This position is ... investigating, evaluating, negotiating and resolving..
Job Information Humana Claims Review Representative 2 in Philadelphia ... in Philadelphia Pennsylvania Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
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..
