- GAP Solutions Inc (Hartford, CT)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and… more
- Travelers Insurance Company (Hartford, CT)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Prime Therapeutics (Hartford, CT)
- …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...in the applicable software systems (ie, MSA Toolbox, RX Claim ) + Other responsibilities as assigned **Minimum Qualifications** +… more
- Deloitte (Hartford, CT)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist , you will have the ability to share new ideas and collaborate on ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an engagement team and… more
- Walgreens (Willimantic, CT)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Western Digital (Hartford, CT)
- …data. **Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Cardinal Health (Hartford, CT)
- …management methodology and requirements gathering is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related ... to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal… more
- Cognizant (Hartford, CT)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Trinity Health (Hartford, CT)
- …occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of medical ... outstanding insurance payments that need to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal in a timely manner +… more
- Hartford HealthCare (Farmington, CT)
- …that are tracked and monitored. Support and perform high level AR & Denial Specialist tasks to improve operations and problem solve by developing solutions after ... Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04… more
- Deloitte (Hartford, CT)
- …onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an engagement team and ... Provide Epic system support for Resolute Hospital billing & Hospital billing claims , Resolute Professional billing, Claims + Support system activities-… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …State agencies to uphold program standards, promote workplace safety, and manage claims efficiently. The program is centrally administered and supported by a ... contracted Third-Party Administrator (TPA) responsible for claims adjusting, medical provider networks, and related managed care services. As a Workers Compensation… more
- The Cigna Group (Bloomfield, CT)
- …with Quality Mgmt to effectively and compliantly execute daily RA program operations , as identified. Participates in coding reviews of medical documentation for RA ... in Risk Adjustment Data Validation audits (RADV), Risk Adjustment operations , Risk Adjustment medical record and diagnosis coding excellence, implementation… more
