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Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..
Job Description Acts as the NY/NJ regional recruitment lead whose main task will be the primary resource for recruiting nonparticipating providers into the Aetna network based on high profile employer group ..
2000 16th Street,Denver,Colorado,80202,United States of America ROPS' supports the DaVita Village through arranging dialysis placements, verifying coverage, generating and submitting claims and coordinating with payors. This position will lead analyses, solve ..
... for you!u003c/emu003eu003c/pu003enu003cpu003eThe Medical Review Nurse Analyst will review medical documentation for ... medical documentation for post pay claims submitted to Medicare to ensure ... Medicaid. The Medical Review Nurse..
... to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare ... u003c/strongu003eu003c/pu003enu003cpu003eOur Senior Medical Review Nurse Analyst position is a work from .....
... to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare ... Snapshot u003c/strongu003eu003c/pu003enu003cpu003eThe Medical Review Nurse Analyst is a work from home .....