Providing technical oversight to five to six claims technicians. Ensuring timely and cost-effective claims resolution. Ensureing claim files are properly documented and claims coding is correct. Applicants must meet the following qualifications: 8 plus years of progressive claims experience.
Provide support on a claim level for the pharmacies with outstanding balances. Maintain written correspondence related to recoveries. Must meet the following requirements for consideration: Work in-office one day per week. 5 years of data analysis & problem-solving. Bachelor's degree.
Support development and management of provider networks. Qualifications for this position include: High school diploma. 4+ years of health care / managed care experience. 2+ years of provider relations and/or provider network experience. Proficiency in claims processing and issue resolution.
Assisting in on-boarding, educating, and supporting our customers. Managing relationships and communications with customers. Applicants must meet the following qualifications: Experience with insurance claims and billing. Comfortable speaking on the phone for long periods of time.
Assisting in on-boarding, educating, and supporting our customers. Helping and guiding customers with everything insurance and claims billing related. Solving any problems the user has as it relates to using the software. Required Skills: Able to work from 8 am to 5 pm US Pacific Time.
College degree. At least 5 years’ experience working on projects that provided exposure to technical issues. Project management skills required to monitor projects and keep them on track. Strong knowledge of Microsoft Office products, including Excel and PowerPoint.
Supporting Distributors throughout the on boarding and implementation process. Utilizing data analytics and modelling to understand needs and opportunities. Position Requirements Include: Experience as a data analyst with 4 or more years working in the life insurance industry.
Supporting sales team by developing and maintaining positive customer relations with clients. Qualifications for this position include: Must be available to travel 20% Minimum of 5 years Bill Review or insurance claims experience.
RN, LPN, LVN, Licensed professional graduate of an accredited school of nursing. Computer skills and analysis capabilities. Able to navigate CPT4 code and ICD9 and ICD10 DX on HEDIS Technical Specification requirements. Understanding of codes for services based on diagnosis and procedure.
Training, developing, and providing technical and leadership guidance. Qualifications for this position include: Working in the field. High school diploma or general education degree (GED) required. 5+ plus years of estimating experience including specialty vehicles.