Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (i.e., CPT, ICD 10 and HCPCS, NDC, revenue codes and medical terminology). Will obtain necessary documentation from various resources. Ability to timely and accurately communicate with internal teams and external customers (i.e., third party payors, auditors, other entity

Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines. Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD 10 and HCPCS, NDC, revenue

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes. Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contrac

Serves as the primary point of contact for Sentry's Retirement Plan customers. Provides proactive technical guidance and consultative support for designated customers in the areas of plan design, interpretation of plan documents, recommendation and implementation of plan amendments, contributions, plan limits, loan administration and other facets of plan administration. Co

Initiate the Commercial Lines audit process gatheringinformation from insureds and agents. Serve as the point of contact and provide support for policyholders throughout the audit process. Review and consolidate policyholder's payroll, financial records, tax reporting and other ad hoc reports to determine final Workers Compensation auditable exposures. Confirm policyholde

QUALIFICATIONS Education Required – High school diploma or its equivalent; Associate's Degree or higher in a related field is preferred. Strong knowledge of business office functions including accounts payable and accounts receivable. Excellent organizational skills and the ability to work independently, problem solve, and prioritize tasks. Ability to maintain s

This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical scoping, configuration, testing, and implementation. Participates in the vendor management disc

At Sentry, our business is built around people. We currently have a great opportunity for you to join our internal audit team. You'll conduct audits by applying auditing principles, analyzing data, systems and controls, and properly recording your work documents. You'll be proactive in recognizing potential issues and investigating the root cause, while recommending change

If you believe in making a difference, then Sentry is the company for you! As a member of a multi billion dollar organization, you will have the opportunity to make a direct and immediate impact on our business and customers. We currently have a great opportunity for you to join our internal audit team. You'll contribute to Sentry's success by conducting audits by applying

This position is responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk a

As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the central challenge of our times to help drive the transition to net zero carbon economies while ensuring that no working families, businesses, or local communities are left behind. To do that, we are the utility industry's top provider of turn key energy efficiency and

As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the central challenge of our times to help drive the transition to net zero carbon economies while ensuring that no working families, businesses, or local communities are left behind. To do that, we are the utility industry's top provider of turn key energy efficiency and

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t