- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- Sedgwick (Bismarck, ND)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Lincoln Financial Group (Bismarck, ND)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... responsible for the investigation, evaluation, interpretation, and payment or denial of life claims . You will leverage sound and impartial claim judgments by… more
- Lincoln Financial Group (Bismarck, ND)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program that...and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when… more
- Lincoln Financial Group (Bismarck, ND)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Bismarck, ND)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Lincoln Financial Group (Bismarck, ND)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Lincoln Financial Group (Bismarck, ND)
- …multiple diagnoses and claim factors. + You will analyze and process claims by investigating and obtaining a wide range of complex information. You will apply ... to bring on a **Long Term Disability (LTD) Technical Specialist II** to our Group Protection Organization in a...will be responsible for managing highly complex Long-Term Disability claims for a variety of customers. These claims… more
- Universal Health Services (Fargo, ND)
- …The Patient Accounts Specialist will be scheduled 40 hours per week. Benefits for Patient Accounts Specialist include: + Challenging and rewarding work ... Responsibilities Patient Accounts Specialist Job Description Join the expanding team in...generates bills for patient stays, follows up on submitted claims for reimbursement, works denied claims , and… more
- Conduent (ND)
- **Data Entry Specialist \ Benefits -Onsite** **Monday- Friday 8:00am-8:00pm EST** **Shift Hours: | Monday- Friday 8:00am-8:00pm** **Qualified candidates need to be ... to building high-performing teams! Our amazing growth opportunities, excellent benefits package and competitive compensation has enabled trust and authenticity… more
- Prime Therapeutics (Bismarck, ND)
- …drives every decision we make. **Job Posting Title** Lead Rebate Billing Specialist **Job Description Summary** Oversee daily operations as outlined by management. ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...by 8% depending on applicant location. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Sedgwick (Bismarck, ND)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.… more
- Sutherland Global Services (Bismarck, ND)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and...PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language… more
- CROSSMARK (Grand Forks, ND)
- …assigned to the demo program. * Can effectively communicate the features and benefits of the product. * Ability to prepare and serve food samples including ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- SMX (Bismarck, ND)
- …+ Supports in the delivery of new-hire orientations. + Assists employees regarding benefits claim issues and plan changes. + Oversees the processing and ... HR and/or benefits administration in government contracting + Certified Employee Benefits Specialist (CEBS) or related Human Resources certification a plus.… more
- Indian Health Service (Fort Yates, ND)
- …patients and medical staff in completing forms, verify patient eligibility for benefits , review claims , interpret business office policies and procedures. GS-7: ... Apply an extensive body of rules and procedures concerning benefits to clarify benefit processes and procedures...resources and advice patients of nonpayment or approval of claim ; advise individuals on all aspects of benefits… more
- AutoZone, Inc. (Fargo, ND)
- …at AutoZone AutoZone cares about people. That's why AutoZone offers thoughtful benefits programs with one-on-one benefit guidance designed to improve AutoZoners' ... strong relationship with management team. Assists with training and developing drivers, commercial specialist , and other AutoZoners as directed by the SM or DM +… more
- Zurich NA (Bismarck, ND)
- …and customer satisfaction. + Participating in leadership team meetings to provide specialist guidance and enable the implementation of policies, projects and change ... industryOR + Bachelor's Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + Experience in… more