• UR Registered Nurse - Clinical Appeals

    Cognizant (Jefferson City, MO)
    …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
    Cognizant (10/09/25)
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  • Senior Claim Benefit Specialist

    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
    CVS Health (09/27/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Jefferson City, MO)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
    Cardinal Health (10/15/25)
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