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The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your
Posted 1 day ago
Job Title Customer Service Academy Representative Billing/Accounts Receivable experience required (5 positions available, Anticipated January 2018 start) Job ID 3700 Location Phoenix Full/Part Time Full Time Favorite Job Regular/Temporary Regular Introduction Blue Cross Blue Shield of Arizona is a local, independent Blue Cross Blue Shield Association and a not for profit health insurance compan
Posted 1 day ago
Claims Representative I or II (CNP02252) Summary Receives, investigates and processes liability claims presented against the Company and all automobile accidents for Electric Operations and Gas Operations. Assist with field investigation and technical support for the collection of large, complex or high value property damages to CNP's electric or gas facilities. Essential Duties/Responsibilities R
Posted 1 day ago
Health Care Service Corporation
- Danville, IL / Waco, TX / Abilene, TX / 4 more...
Under supervision, this position is responsible for processing and adjudicating complex non Utilization Management appeals according to the appropriate federal, state, and NCQA requirements and regulations; and responding, by phone, in person, or in writing, to all inquiries involving members requests for appeals. May train and mentor less experienced Appeals Specialists. Required Job Qualificatio
Posted 2 days ago
Specialty Insurance Company
- Madison, WI
CapSpecialty values the experiences of our employees both in the office and outside of work, which is why we are pleased to extend benefits like open paid time off, casual dress code, performance bonuses and more. Location Middleton, WI or Glastonbury, CT Summary CapSpecialty seeks a dynamic, versatile claims professional to add to its experienced, team oriented staff. This claims professional wil
Posted 3 days ago
The Clinical Client Operations Consultant will be responsible for analyzing Client's specialty benefit requests and inputting data into RxClaim to maintain specialty benefits (pricing, copays, grace fills, etc.) and building of new Specialty benefits for clients. The Consultant's duties will emphasize data analysis and review of client documentation to determine client intent for their specialty b
Posted 4 days ago
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full time Payment File Electronic Data Interchange (EDI) Specialist to handle payment file processing activities. The Payment File EDI specialist's day to day responsibilities include establishing contact with trading partners, analyzing the data exchanged with any partners, observing data recor
Posted 4 days ago
UnitedHealth Group
- Minneapolis, MN / Hartford, CT / Tampa, FL / 2 more...
Grow your career with an industry leader! We have training classes starting soon. Apply now! You're looking for something bigger for your career. You're looking for a place where you will be empowered to be your best. When you join UnitedHealthcare , you'll be part of a team committed to reshaping the way health care works for millions. You'll join us on a mission to not only deliver the best cust
Posted 1 day ago
Health Care Service Corporation
- Danville, IL / Waco, TX / Abilene, TX / 4 more...
Under supervision, this position is responsible for processing, organizing, and coordinating all materials and information relating to processing appeals for all lines of business following federal, state, and accreditation requirements; and for accurately responding by telephone, in person, or through correspondence to all inquiries involving requests for appeals from members, the Department of L
Posted 2 days ago
The Registration Clerk shall provide financial counseling services to, and gather information for inpatients, outpatients, and Emergency Room patients in the functional areas of admissions, discharges, payment planning, insurance verification and/or Emergency Room treatment records. Qualifications Education Must possess a high school diploma or equivalent. Experience Desirable characteristics inc
Posted 2 days ago
UnitedHealth Group
- Greensboro, NC / Phoenix, AZ / Hartford, CT / 2 more...
Update claim information based on research and communication from member or provider Complete necessary adjustments to claims and ensure the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates) Communicate extens
Posted 4 days ago
UnitedHealth Group
- Minneapolis, MN / Hartford, CT / Tampa, FL / 2 more...
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. You'll join a high caliber team where you're assisting, educating, problem solving and resolving tenuous situations to the best possib
Posted 1 day ago
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigati
Posted 1 day ago
Get the training you need to build the success you want. Classes starting soon, so apply today! Are you looking for a chance to get your foot in the door with a great company? You've found it here. Already one of the world's leading health care companies, UnitedHealthcare is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives
Posted 2 days ago
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Positions in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims
Posted 1 day ago
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