- CVS Health (Phoenix, AZ)
- …+ Working within turnaround times to meet client performance guarantees for claims processing . + Meeting productivity and accuracy standards. **Required ... calls to Members and/or Providers for verification of information + Processing and adjudicating paper claims . + Maintaining integrity of claims receipts in… more
- Cardinal Health (Phoenix, AZ)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of… more
- The Cigna Group (Phoenix, AZ)
- As a Pharmacy Technician Senior Representative , you will be working on a specialized team focused on high touch programs to assist our patients. This role is very ... the majority of your day researching benefits, obtaining prior authorizations, processing orders and talking to patients and/or providers. Our representatives are… more
- Robert Half Office Team (Phoenix, AZ)
- …We are looking for a dedicated and bilingual Spanish/English Customer Service Representative to join our team in Phoenix, Arizona. In this long-term contract ... outbound customer inquiries, providing information about insurance policies, benefits, and claims processes. * Assist policyholders who wish to cancel their coverage… more
- Banner Health (Phoenix, AZ)
- …our specialized clinic. You will be part of a team that ensures clean claims and excellent customer service, to our patients, and external customers, to meet and ... audiences. Strong knowledge in the use of common office software, word processing , spreadsheet, and database software are required. Employees working at BUMG, BUMCT,… more
- Molina Healthcare (Phoenix, AZ)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point ... of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary information to providers, members, and pharmacies. + Assists with… more
- Molina Healthcare (Phoenix, AZ)
- …party administrators. + Performs enrollment functions to include call tracking, claims workflow, and encounter requests for verification and updates, PCP assignment ... to assist peers and leadership team. + Strong knowledge of Enrollment processing for Federal, State, and business regulatory requirements with a strong system… more
- Transdev (Phoenix, AZ)
- …in accordance with company policy and within the parameters established by the manufacturers. Claims need to be filed in a timely manner. + Performs periodic audits ... of maintenance systems to ensure claims are getting flagged for potential warranty. Reports discrepancies...partnership with the technical team to ensure the timely processing of recalls and campaigns. + Work closely with… more
- CVS Health (Phoenix, AZ)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes - Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Wounded Warrior Project (Phoenix, AZ)
- …during active duty military service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals through the Department of ... DoD and DVA laws and regulations when researching, filing, and closing benefits claims . + Working knowledge of all VBA electronic systems, including appeals. + Is… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned areas ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …The Director will author/review **clinical pharmacology** submission documents and representative of the department at different product development team meetings. ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Transdev (Phoenix, AZ)
- …operations. + Maintains an effective parts catalog system. + Manages parts warranty claims . + Manages a core exchange program. + Prepares and conducts physical ... equipment preferred. + Must be computer literate in word processing , spreadsheet, and database programs. + Must be able...personnel so classified. The physical demands described here are representative of those that must be met by an… more
- ZOLL Medical Corporation (Phoenix, AZ)
- …and other value propositions based on ZOLL products and services.Ensure timely processing of required documentation to prevent delays in the appropriate provision of ... and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts,… more