- Towne Park (Kansas City, MO)
- …Account Manager is responsible for escalating issues to their assigned supervisor to address and correct. **ESSENTIAL FUNCTIONS** **Reasonable accommodations may be ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Jefferson City, MO)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (St. Louis, MO)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Jefferson City, MO)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Jefferson City, MO)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Centene Corporation (Jefferson City, MO)
- …medical claim review . Ensure compliance with coding practices through a comprehensive review and analysis of medical claims , medical records, claims ... Centers for Medicare and Medicaid Services. + Ensures Payment Integrity DRG Review consistently meets production standards and passes quality audits + Oversees… more
- BJC HealthCare (St. Louis, MO)
- …The Patient Accounts Representative I is responsible for ensuring the timely review , collection and resolution of all payor and patient accounts. This position ... provides on-going analysis & review review of insurance verifications and account...+ Completes accounts receivable insurance collections and follow-up on claims to expedite payment from assigned insurance companies. +… more
- Cardinal Health (Jefferson City, MO)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Eureka, MO)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Cardinal Health (Jefferson City, MO)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Walgreens (Chesterfield, MO)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Clinton, MO)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Cardinal Health (Jefferson City, MO)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (St. Louis, MO)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Cummins Inc. (Kansas City, MO)
- …of repair based on parts and labor availability; reviews plan with the Service Supervisor /Team Lead prior to customer contact. + Review work orders to ensure ... + Identify customer's needs, gathers pertinent information, provides quotes, develops claims , prepares repair plans and provides status updates to customers on… more
- CVS Health (Jefferson City, MO)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more
- Walgreens (St. Charles, MO)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Mass Markets (MO)
- …you are sure to succeed. We offer many advancement opportunities, including Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for ... staff and managerial for resolution as needed + Attend meetings and training and review all new training material to stay up to date on changes to program… more
