The Provider Enrollment Representative I completes routine enrollment tasks in support of the provider enrollment team. This position researches and controls incoming applications and correspondence to ensure the work is properly categorized. This position reviews and processes a high volume of prospective provider enrollment applications. Key Performance Indicators Atten

The Provider Enrollment Representative II completes routine enrollment tasks in support of the provider enrollment team. This position researches and controls incoming applications and correspondence to ensure the work is properly categorized. This position reviews and processes a high volume of prospective provider enrollment applications Key Performance Indicators Atten

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisio

The Insurance Specialist is responsible for consulting with Clients on contractual insurance requirements via review of MSAs/contracts and conveying industry best practices in determining how to best reduce Client exposures. The Insurance Specialist will work in collaboration with the Insurance Verification team to deliver quick, high quality service and exceed Client exp

Provides underwriting technical support to renewal underwriters. Main responsibilities include assisting with renewal file preparation, endorsement requests, follow up with agents, binding process, and miscellaneous tasks. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. The salary range for this

The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me

The Boucher Body Shop of West Allis is looking to hire an experienced Body Shop Estimator! POSITION The Boucher Body Shop of West Allis is seeking an experienced Body Shop Estimator for their Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have go

The Boucher Automotive Group is hiring a Body Shop Customer Service Representative POSITION The Boucher Automotive Group is seeking a Customer Service Representative for their Waukesha Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have good cust

Provider Analyst II Provides analytical support during contract negotiation process. Assists contracting in building tools that model rate. Organizes and performs analytical review of opportunities with provider networks. Performs claims repricing, discount analyses, etc. to support group sales efforts and RFPs. Provides understanding of financial impact based on history.

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Associate Director Technical Accounting At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

We are recruiting for a motivated Lead Patient Access Specialist Emergency Department (Days) to join our team! We are here for life's journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all Humanity in action, Triumph in hardship, Transformation in health. Departm

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self funded health benefits plans that manage costs without compromising benefits by offering innovative solution

Zions Bank recognizes that its strength comes from the dedication, experience, and talents of its diverse employee base. As we usher in the next generation of banking, we're committed to being the premier employer of choice. We're proud to have ranked among American Banker magazine's "Best Banks to Work For" every year since 2013, as Best Employer from Utah's Best of Stat