- CVS Health (Jefferson City, MO)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Jefferson City, MO)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CenterWell (Jefferson City, MO)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of… more
- CVS Health (Jefferson City, MO)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Anheuser-Busch (St. Louis, MO)
- …but not limited to; on-time pickup, on-time delivery, ETA accuracy, freight claims , etc. Address poor performance directly with carrier to improve brewery operations ... can celebrate, and everyone can share in. **A future with more cheers.** ** BENEFITS :** + Health benefits including Medical, Dental, Vision, Wellness and… more
- CenterWell (Jefferson City, MO)
- …Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use ... HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Prime Therapeutics (Jefferson City, MO)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Commerce Bank (Kansas City, MO)
- …requirements have been met + Prepare Foreclosure Recommendation and submit to senior management for approval, review legal documents and progress of each loan ... in Foreclosure/REO Workstations and promptly and accurately prepare mortgage insurance claims . + Work directly with vendors to procure completion of property… more
- Highmark Health (Jefferson City, MO)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- Highmark Health (Jefferson City, MO)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- Medtronic (MO)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more