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Patient Education (Telephonic/In person) Responsible for patient education while staying within established compliance parameters for the company and program Identifies and effectively communicates opportunities to better the insurance status of the patients, alleviating financial risk and burden Provides information to patients to help them find and/or secure options for
Posted 1 day ago
What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category defining, data driven, software as a service (SaaS) products for a broad spectrum of insurance, health IT and life sciences clients. We are a business unit within Milliman, I
Posted 2 days ago
SKYGEN
- Menomonee Falls, WI
Important things YOU should know Fully Remote Opportunity Schedule Mon Fri 8 00am 4 30pm CST Potential for Flex Schedule Occasional rotational weekend coverage required Exceptional Professional Growth Successfully complete a pre employment online alphanumeric data entry assessment with a minimum score of 8200 KSPH and 98% accuracy rate. What will YOU be doing for us? You
Posted 2 days ago
Provide strategic leadership and oversight to integrate behavioral health services into existing Salvation Army programs (including Homeless Services, Vocational Services, and Family Services). Oversee credentialing, policy development, quality assurance, and EHR implementation to ensure clinical compliance and billing readiness. Design and implement workflows that suppor
Posted 2 days ago
The Senior Compliance Specialist Program Mgmt will assist the VP, Compliance Program Management with core compliance management functions including, but not limited to, compliance risk assessments, control and complaint monitoring, bank wide training and change management functions. Essential Duties & Responsibilities Utilizes GRC platform to complete risk assessments ide
Posted 2 days ago
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details Anticipated Training Class Start Date 5/25/2026 Schedule Monday to Friday 8 00am 4 30pm Central Time for 4 weeks What is your impact? As a Claim Examiner, you w
Posted 2 days ago
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connect
Posted 2 days ago
(65%) Insurance Administration Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority Determine if patient's insurance is a part of the provider network Make outgoing calls to insurance companies for pre certification or any authorization Receives pre authorization from patients
Posted 3 days ago
Colliers Debt & Structured Finance is seeking a driven, customer focused, and detail oriented Insurance Coordinator to support our internal Insurance and Tax teams. This is a great opportunity for someone who is looking to break into both the commercial real estate and/or commercial insurance industry. This individual will build strong cross functional internal relationsh
Posted 4 days ago
Symetra offers a thrilling chance to become part of our team as an Associate Claims Examiner ! About the role Provide claims assistance as directed including sole responsibility for researching, recording, and reporting findings from DMF monthly runs across both life and retirement divisions. Maintains individual life waiver of premium, individual disability income and va
Posted 2 days ago
Blue Shield of CA
- Woodland Hills, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
Your Role The Medi Cal Operations team is responsible for ensuring claims are processed accurately and timely. The Claims Processor, Specialist will report to the Medi Cal Operations Supervisor. In this role you will be responsible for interfacing with other departments and vendors involved in the Claims process and will also serve as the primary point of contact for prio
Posted 2 days ago
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details Anticipated Training Class Start Date 5/25/2026 Schedule Monday to Friday 8 00am 4 30pm Central Time for 4 weeks What is your impact? As a Claim Examiner, you w
Posted 2 days ago
Itamar At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Itamar is an innovative
Posted 3 days ago
Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Description Logistics CGS (cgsadmin.com) one of BlueCross BlueShield's South Carolina subsidiary companies. Location This position is full time (40 hours/week) Monday Fri
Posted 3 days ago
Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Description Logistics CGS (cgsadmin.com) one of BlueCross BlueShield's South Carolina subsidiary companies. Location This position is full time (40 hours/week) Monday Fri
Posted 3 days ago
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