- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Montgomery, AL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None Job Posting **Guidehouse is hiring! We have ... positions available. Apply now!** **What You Will Do** **:** The Patient Account Representative is expected to perform specific areas of billing, follow up, account… more
- Ryder System (Montgomery, AL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative (PAR) is expected to perform specific billing processes,...follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer… more
- Regions Bank (Hoover, AL)
- …with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers ... the system. **Job Description:** At Regions, the Contact Center Fraud Representative responds to customer's inquiries or complaints regarding fraud. **Primary… more
- Mass Markets (AL)
- …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 ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (AL)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... through problems solving and effective call handling + Attend meetings and training and review all new training material to stay up to date on changes to program… more
- Highmark Health (Montgomery, AL)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Montgomery, AL)
- _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
- Highmark Health (Montgomery, AL)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Republic Airways (Tuskegee, AL)
- …and general administrative support to the LIFT Maintenance Department processing warranty claims and work orders. Assists in both material planning and scheduled ... this position as needed._ + Reviews and processes warranty claims with Diamond Aircraft, Austro Engines, MT Propeller and...Processes the work orders from the night before. + Review and verify compliance on all maintenance-related tasks within… more
- CVS Health (Montgomery, AL)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Montgomery, AL)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Prime Therapeutics (Montgomery, AL)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Truist (Birmingham, AL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Perform loan administration duties for commercial ... otherwise adjusting the statements, per lender requirements. + Perform (or review third-party) property inspections to verify sufficient maintenance of collateral,… more
- First Horizon Bank (Birmingham, AL)
- …dispenser (cash and deposits) + Research and process ATM missing deposits and claims of shortage according to SLAs + Reconcilement of Loomis audits with ... each essential duty satisfactorily. Additionally, the qualifications listed below are representative of the knowledge, skills, and/or abilities required in this… more
- RxBenefits (Huntsville, AL)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more