- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (St. Paul, MN)
- …all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates ... May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Plymouth, MN)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Registration Specialist Senior *to join our Admitting and Registration team. This 0.20 (16 hours per pay period) role will ... Other Weekend, 11:30 PM - 8:00 AM). *Purpose of this position:*Registration Specialist Senior provides revenue cycle services and assumes responsibility for… more
- Fujifilm (St. Paul, MN)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Cassia (Edina, MN)
- Cassia, a nonprofit, senior living organization, is hiring an Accounts Receivable Specialist to join our growing team! In this vital role, you'll focus on ... experience in both healthcare and Medical Assistance billing. The Accounts Receivable Specialist reports to the Director of Reimbursement. Based at our Edina, MN… more
- Medtronic (Mounds View, MN)
- …expand your professional horizons. Prepare and present regular updates to senior leadership. Your responsibilities will include: + **Referral Programs:** Lead the ... performance metrics, providing regular updates and recommendations for optimization to senior leadership. + **Marketing Enablement:** Lead the creation and execution… more
- United Therapeutics (St. Paul, MN)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… 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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… 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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more