Search Results: 1,145 vacancies
Perform comprehensive clinical review of requested services utilizing clinical criteria, received through various mechanisms
Job Description... ...appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and...
Claims
Contract work
Temporary work
...Responsible for various activities associated with coverage reviews and appeals including the review of pharmacy prescription medication related prior authorizations, pharmacy appeals, and member grievances focused on medications.
**Job Description:**
**Job Responsibilities...
Suggested
Remote job
Work from home
Relocation
The Cigna Group
Coverage Review Operations - Director - Hybrid
Chattanooga ,
Tennessee
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Coverage Review Operations... ...of prior authorization reviews and direct member reimbursement claims in accordance with client benefit intent policies and regulatory...
Claims
Holiday work
Temporary work
Work from home
Offshore
...career in the Medical Administrative field? Randstad Chattanooga has the perfect opportunity for you. We are currently hiring a Medical Claims Representative to join an amazing team in a fast paced environment. This position will give you the opportunity to speak with...
Claims
Hourly pay
Permanent employment
Temporary work
Work experience placement
Currently hiring
Shift work
...Job Description
Job Description We want our clients to experience best in class claim service.
Our goal is to guide our clients through every step of the claim process and help make the experience as streamlined as possible.
Responsibilities:* Responding to calls...
Claims
...Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company,... ...and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other...
Claims
Holiday work
Full time
Local area
Remote job
...IS IT TIME FOR A CAREER CHANGE?
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark on a dynamic and in... ...at to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: ()
and Facebook at:...
Claims
Full time
Immediate start
...Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are you ready, willing, and able to Elevate?
Elevate Claims Solutions...
Claims
Contract work
Flexible hours
...Responsibilities
Customer Claims Support Analyst - Imaging
Location: Chattanooga, TN
Remote Work: Hybrid
Travel Expected: minimal
Job Type: Full Time
About the Job
At Sanofi Consumer Healthcare , we have one overarching mission - to work...
Claims
Full time
Local area
Remote job
Worldwide
...position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product... ...Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain...
Claims
Temporary work
Worldwide
Flexible hours
...leading a team of collectors to ensure the effective and timely review and resolution of past due consumer, mortgage, and commercial accounts... ...credit union's mission.
Represent the credit union in small claims, municipal, and bankruptcy courts.
Assist in preparing the...
Claims
Full time
Work experience placement
...+ Understanding of ANSI format, institutional and Professional claims billing
**Job Specific Requirements:**
SQL and Tableau experience... ...regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices (
**BlueCross...
Claims
Work experience placement
Remote job
Work from home
Relocation
...Support Specialist will be responsible for processing contractor claims through various methods including, contractor portal, email and... ...things related to invoice processing
+ Receive, process, audit/review and approve contractor invoices prior to AP payment
- Invoices...
Claims
For contractors
Casual work
...in processes required for daily operations of pharmacy coverage reviews, clinical pharmacy programs, vendor activities, and daily... ...:**
**Job Responsibilities**
+ Enter authorizations and test claims into the pharmacy benefit system to ensure appropriate claim adjudication...
Claims
Holiday work
Remote job
Work from home
Relocation
Weekend work
Afternoon shift
...rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of... ...of education and experience:
DD-214 - If you are claiming Veterans' Preference or eligible Veterans' Service, provide a copy...
Claims
Hourly pay
Holiday work
Permanent employment
Full time
Temporary work
Part time
For contractors
Work experience placement
Immediate start
Remote job
Relocation
Trial period
Flexible hours
Shift work
Night shift
Weekend work
Sunday
Saturday
...improved accuracy in financial records and customer satisfaction. By reviewing accounts with a credit balance and issuing refunds as necessary... ...that need corrections made due to posting errors and pend claims to allow for resolution
Communicate posting errors in Epic to...
Claims
Full time
Casual work
Remote job
...and join Team Unum today!
General Summary:
The clinical consultant is responsible for reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple settings to assess medical...
Claims
Temporary work
Worldwide
Flexible hours
...(Personal Protective Equipment)
Follows proper accident and claim procedures. Complies with safe driving rules and procedures and... ...applications for this position. Our hiring managers frequently review submissions and will contact you if we think you are a good fit...
Claims
Holiday work
Temporary work
Flexible hours
Shift work
Weekend work
...registration and billing departments. The Revenue Cycle Specialist reviews appropriate reports and systems to monitor patient account... ...in system work queue edits (Patient, Referrals, Charge Review, Claim Edit, and Denials). Conducts routine and ongoing rounding in assigned...
Claims
Contract work
Work experience placement
Flexible hours
...are interested in pursuing a rewarding career, we invite you to review our opportunities!
Job Description Summary
Service Manager... ...•Create, update, close and bill work orders
•File warranty claims in a timely fashion
•Commission New Equipment
•Order parts,...
Claims
Outdoor
