Resp & Qualifications PURPOSE… The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment concepts, as well as, validate all prospective and retrospective overpayment results; communicating findings to the Payment Integrity Workgroup and Management. The incumbent will … Read more
Aetna is a well-known health insurance company that has been providing health care benefits to millions of people for many years. We are committed to helping people live healthier lives by providing them with the resources and support they need to make informed decisions about their health and well-being. Job Title: Remote Customer Service Representative … Read more
Locations: US Remote, United States of America Manager, Product Management – Capital One Software (Remote) Capital One has been a pioneer through our tech journey as the first large bank to go all in on the public cloud, while operating in a complex and highly regulated business environment. We have built out a large engineering … Read more
Locations: US Remote, United States of America Work From Home Principal Associate, Senior Unit Manager, Servicing Back Office At Capital One, we strive to create a world class experience for our customers. As a Principal Associate, Senior Unit Manager, Servicing Back Office on the Credit Bureau Disputes (CBD) / Specialty Operations teams, you have the … Read more
Locations: VA – Richmond, United States of America, Richmond, Virginia Principal Customer Success – Business Cards & Payments – Remote Eligible Principal Customer Success – Business Cards & Payments – Remote Eligible… Level: Principal Associate Line of Business: Business Cards & Payments (BC&P) About Business Cards & Payments: The name of our organization is Business … Read more
Center 1 (19052), United States of America, McLean, Virginia Senior Business Manager, Strategy (Remote – Eligible) This position is in the Strategy team of the newly formed SIBC&P (Software, International, Business Cards & Payments) division at Capital One. The candidate will work closely with leadership in each line of business to solve some of our … Read more
Employer Industry: Healthcare Services Why consider this job opportunity… – Opportunity for career advancement and growth within the organization – Competitive salary with a minimum of three years of experience required – Supportive and collaborative work environment – Chance to make a positive impact on patient account management and collections – Engaging in educational programs … Read more
Job Title: Account Manager Number of Positions: 1 Location: Cleveland, OH Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. … Read more
General Liability Claims Adjuster-Virtual Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA… Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and Public Entity clients, with an emphasis on Specialized Programs. Our extensive and diverse background allows our staff to fully understand … Read more
Job Description Job Summary… Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and root cause of processing errors. Recommends remediation plan and assists with … Read more