- Lincoln Financial (Jackson, MS)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Sedgwick (Southaven, MS)
- …(CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred. ... including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter… more
- Carrington (Jackson, MS)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... and changing priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree in accounting or other related field preferred. + Two (2)… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected...solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and… more
- Intermountain Health (Jackson, MS)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- Travelers Insurance Company (Jackson, MS)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Walmart (Gulfport, MS)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Walmart (Meridian, MS)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Baptist Memorial (Columbus, MS)
- …accurately, efficiently and professionally to ensure data base integrity and facilitate claims processing. * Participates in providing safe, cost effective patient ... care in a timely manner to achieve positive patient...other individuals in the hospital, thus promoting quality patient care and achieving good outcomes. * Performs other duties… more
- Highmark Health (Jackson, MS)
- …- from building cost transparency and coverage capabilities, streamlining our billing and claims experience, to helping members afford and pay for care . This ... job will provide support for the development of financial experience portfolio's fundamental value proposition, vision, and execution plans. Working with the Product Manager, this position will analyze customer pain points to determine problems to solve,… more
- Walmart (Southaven, MS)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Humana (Jackson, MS)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Jackson, MS)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... require assistance traveling to and from the VA health care facilities and authorized non-VA health care ...budgets, and provides advice and recommendations to Medical Center Associate Director, Medical Center Chief Financial Officer and Chief… more
- Humana (Jackson, MS)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5 years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Banner Health (MS)
- **Department Name:** Coding-Acute Care Compl & Educ **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46.20 / hour, based on ... Banner Health the best place to work and receive care . Interested in joining our Coding team? We have...vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of acute… more
- Humana (Jackson, MS)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Humana (Jackson, MS)
- …external vendors to support quality measure improvement activities. + Investigates claims and medical records to identify opportunities for quality improvement and ... + One (1) year of working in a health care environment/managed care setting. + Proficiency in...skills combined with an understanding of medical record and claims documentation requirements. **Preferred Qualifications** + Master's Degree. +… more
- Humana (Jackson, MS)
- …The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more