- CVS Health (St. Paul, MN)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist...applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries… more
- Philips (Plymouth, MN)
- The Senior RA Specialist will play a critical role in ensuring Philips Computed Tomography (CT) and Advanced Molecular Imaging (AMI) solutions are safe, ... claim landscape, legislative initiatives, and marketing strategy. **Your role:** + The Senior RA Specialist provides the regulatory plan, guidance on risk… more
- Prime Therapeutics (St. Paul, MN)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. ... and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible for… more
- Cassia (Edina, MN)
- Cassia, a healthcare organization, is hiring an Accounts Receivable Specialist to work with our growing department that focus on billing for Medicare A, Managed ... Care, and Medicaid. The Accounts Receivable Specialist reports to the Director of Reimbursement. At our...staff who are dedicated to the well-being of our senior care residents. We serve facilities in Minnesota, North… more
- Highmark Health (St. Paul, MN)
- …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...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- State of Minnesota (St. Paul, MN)
- …Title: Senior Applications Analyst/Developer** **Job Class: Information Technology Specialist 4** **Agency: Minnesota IT Services** + **Job ID** : 76309 ... committed to equity and inclusion, and invests in employees by providing benefits , support resources, and training and development opportunities. Join the 2,600+… more
- Highmark Health (St. Paul, MN)
- …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...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Evolent Health (St. Paul, MN)
- …including Credentials and Quality Improvement Committees (QIC). + Work with Senior leadership to support certification and accreditation processes with National ... Affordable Quality Healthcare (CAQH), Credentialing System, sPayer, Symplr and proprietary claim systems. **Qualifications - Required and Preferred:** + High school… more