Overview A Payment Accuracy, Coordination of Benefits (COB) Specialist, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health
Overview As a Member Financial Specialist – Eligibility & COB Focus, you will play a vital role in resolving Coordination of Benefits (COB) denials, addressing complex eligibility and coverage issues, and ensuring accurate and timely updates to member
Overview A Payment Accuracy, Coordination of Benefits (COB) Specialist 2, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more
Overview The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining teams. This individual will efficiently and professionally handle daily administrative activities within the
About Us Abacus Insights is transforming how data works for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence. We help
About Us Abacus Insights is transforming how data works for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence. We help
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers
We’re delighted you’re considering joining us! At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency. Essential Duties and
We exist for workers and their employers - who are the backbone of our economy. That is where Centivo comes in - our mission is to bring affordable, high-quality healthcare to the millions who struggle to
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
CompanyNavitus About UsNavitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make
JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with
Overview Cotiviti is a leading provider of data-driven solutions that help healthcare organizations, retailers, and payers improve financial performance and operational efficiency. Our mission is to deliver actionable insights through advanced analytics, innovative technology, and deep
Overview Cotiviti is a leading analytics and technology company in the healthcare industry, providing solutions that help health plans and providers improve payment accuracy, risk adjustment, quality, and clinical outcomes. Our payment accuracy platform processes over
Supplier Development Engineer Who We Are Kymeta revolutionizes satellite communications through Intelligent Communications Platforms (ICPs). Our electronically steered flat panel antennas enable seamless communications on-the-move. Kymeta solutions serve government, military, maritime, transport, and public safety clients
Location:Remote Position Pay Range:$18.93 - $31.56 RESPONSIBILITIES: Primary Key Performance Areas: KPA 1 – Insurance Verification Verify Private, Medicaid, and Medicare insurance coverages (include VA, IHS, and other unique programs). Complete patient facility (Hospital, Hospice, Rehab, ALF,