- CVS Health (Tallahassee, FL)
- … Health claim questions from business partners. + Process Behavioral Health claims for escalated member/providers situations and known system ... Payment Integrity and Customer Relations team that ensures Behavioral Health claims are paid...Qualifications + 3+ years of ACAS Medical/Hospital Claim Processing experience. + Experience with Claims /Policies… more
- Highmark Health (Harrisburg, PA)
- …with rate filings and applicable regulations. + Provide advanced support for the claim reserve process. + Provide assistance and risk management to the Product ... size and complexity + Attainment of the ASA or ACAS (Associate) designation **AND** pursuing FSA or FCAS (Fellowship)...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more