We have other current jobs related to this field that you can find below
-
Banking Specialist III-Sales
4 weeks ago
St Louis, United States FirstBank Full timePosition Details Banking Specialist III - Sales Focus This position, Banking Specialist III, may be called by many other names: New Accounts Representative, Personal Banker, Financial Service Representative, etc. At First Bank, we choose to call you a "specialist" because that is what you are! Individuals in this position are well-versed in both operations...
-
Marketing eBusiness Coordinator III
1 month ago
St Paul, United States C4 Technical Services Full timeMarketing eBusiness Coordinator III\ Location: Remote As an Integrated Marketing Specialist within the Health Care Business Group, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Responsible for supporting all development and...
-
Health Informatics Specialist III
3 months ago
St Paul, United States Health Services Advisory Group Full timeJob Details Under general supervision, the Health Informatics Specialist serves as a member of the project team responsible for coordinating and implementing clinical quality improvement (QI) activities with collaborators for specified projects involving physician offices. This includes generating clinical quality reports from various electronic health...
-
Sr. Regulatory Specialist
1 week ago
St Paul, United States Boston Scientific Full timeRecruiter: Spencer Gregory Hale Sr. Regulatory Specialist - Electrophysiology Pulsed Field Ablation At Boston Scientific, you'll discover a place where you can have meaningful purpose, improving lives through your life's work. In Rhythm Management (RM) we offer solutions for treating irregular heart rhythms and heart failure and protecting against sudden...
-
Reg Affairs Specialist II
4 weeks ago
St Paul, United States Boston Scientific Full timeRecruiter: Spencer Gregory Hale Reg Affairs Specialist II - CRM You'll discover a place where you can have meaningful purpose, improving lives through your life's work. Our products and technologies are used to diagnose or treat a wide range of medical conditions. We continue to innovate in key areas and are extending our innovations into new geographies and...
-
Field Service Engineer III
4 days ago
St Paul, United States Distinctive Labor Solutions Full timeJOB SUMMARY: Under direction, the Field Service Engineer is responsible to provide technical support for customers and their contractors to assist in erecting, installing, and the mechanical operation of new equipment in the field. In addition, the Field Service Engineer provides Inspection Services, Preventative Maintenance Planning, and Shutdown planning...
-
Regulatory Affairs Manager
2 months ago
St. Paul, United States Abbott Laboratories Full timeAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.About...
-
Obstetrician and Gynecologist
1 week ago
St Paul, United States Allina Health Full timeNumber of Job Openings Available:1Date Posted:August 05, 2024Department:62894400 Allina Health Group OB GYN EastShift:Day/Evening/Night (United States of America)Shift Length:Variable shift lengthHours Per Week:40Union Contract:Non-UnionWeekend Rotation: OtherJob Summary:Allina Health's Women's Health Service Line is looking for an OBGYN Physician to join...
-
Web Specialist/Web Content Management
2 weeks ago
Saint Paul, Minnesota, United States Radiant Digital Full timeAbout Us:Radiant Digital delivers technology consulting and business solutions for commercial and government clients. Our flexible delivery model allows us to provide end-to-end solution delivery, single project execution, and, or strategic resources. CMMI Maturity Level III and ISO 9001 – 2015 certifiedRequired Skills:1-3 years of experience managing...
-
Obstetrician and Gynecologist
2 weeks ago
St Paul, United States Allina Health Full timeNumber of Job Openings Available: 1 Date Posted: August 05, 2024 Department: 62894400 Allina Health Group OB GYN East Shift: Day/Evening/Night (United States of America) Shift Length: Variable shift length Hours Per Week: 40 Union Contract: Non-Union Weekend Rotation: Other Job Summary: Allina Healths Womens Health Service Line is looking for an OBGYN...
-
Obstetrician and Gynecologist
3 weeks ago
St Paul, United States Allina Health Full timeNumber of Job Openings Available: 2 Date Posted: August 01, 2024 Department: 62894400 Allina Health Group OB GYN East Shift: Day/Evening/Night (United States of America) Shift Length: Hours Per Week: 40 Union Contract: Non-Union Weekend Rotation: Other Job Summary: Join our busy and collaborative group providing comprehensive and distinct complement of...
-
Community Support Specialist III
4 days ago
Saint Paul, Minnesota, United States Pathways to Community Full timeJob OverviewIf you are passionate about assisting others and committed to enhancing the lives of those in our community, we invite you to explore this opportunity.Pathways to Community recognizes that the success of our staff directly contributes to the quality of care provided to our clients. Become part of our dynamic and collaborative environment where...
-
HR Assistant III
1 month ago
St Petersburg, United States Cogent Infotech Corp Full timeKey Job Accountabilities: HR Generalist duties, including onboarding new employees, managing HR workflows, facilitating employee moves, organizing new hires for orientation, managing and analyzing HR reports, prepping meeting materials, maintaining HR records, managing the interview process for junior HR talent, and ordering supplies HR Specialist...
-
St. Louis, United States SSM Health Full timeSeeking academic neonatologist(s): SLUCare Physician Group, a member of SSM Health is seeking faculty to join a busy academic group, at the Assistant/Associate Professor level, with a special interest in individuals with training and interest in Neonatal Neurology, Simulation, and Quality Improvement.The Division of Neonatal-Perinatal Medicine consists of 21...
-
St Louis, United States SSM Health Full timeSeeking academic neonatologist(s): SLUCare Physician Group, a member of SSM Health is seeking faculty to join a busy academic group, at the Assistant/Associate Professor level, with a special interest in individuals with training and interest in Neonatal Neurology, Simulation, and Quality Improvement. The Division of Neonatal-Perinatal Medicine consists of...
-
St Louis, Missouri, United States SSM Health Full timeJob DescriptionSeeking academic neonatologist(s): SLUCare Physician Group, a member of SSM Health is seeking faculty to join a busy academic group, at the Assistant/Associate Professor level, with a special interest in individuals with training and interest in Neonatal Neurology, Simulation, and Quality Improvement.The Division of Neonatal-Perinatal Medicine...
-
St Louis, United States Thermo Fisher Scientific Full timeWork Schedule Other Environmental Conditions Office Job Description How will you make an impact? The territory account manager is responsible for selling the chromatography consumables product portfolio within the Analytical Instruments Group. This person will focus on exceeding sales quotas for the full product portfolio across an assigned territory...
-
Vehicle Operations Specialist
3 months ago
St. Louis Park, United States Rivian Full timeAbout Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and...
-
Supervisory Control Specialist
4 weeks ago
St. Louis, United States WELLS FARGO BANK Full timeAbout this role:Wells Fargo is seeking a Supervisory Control Specialist to join our Financial Network (FiNet) within the Branch Infrastructure and Operations group as part of Wealth & Investment Management. Learn more about the career areas and lines of business at www.wellsfargojobs.com .In this role, you will:Participate and consult regarding policies and...
-
Supervisory Control Specialist
3 weeks ago
St. Louis, United States WELLS FARGO BANK Full timeAbout this role:Wells Fargo is seeking a Supervisory Control Specialist to join our Financial Network (FiNet) within the Branch Infrastructure and Operations group as part of Wealth & Investment Management. Learn more about the career areas and lines of business at www.wellsfargojobs.com In this role, you will:Participate and consult regarding policies and...
eCOB Specialist III
2 months ago
eCOB Specialist III
Location: Hybrid, within 50 miles of an Elevance Health pulse point.
Hours: Monday - Friday, an 8 hour shift between 6 am - 6 pm
The eCOB Specialist III is responsible for researching and investigating other coverage for all of the company's groups and member on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits(COB) function including reconciliation of claim, membership and accounting.
How you will make an impact:
Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.
Aides members in enrolling in Medicare when they are entitled.
Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal Laws, such as CMS Primacy and NAIC rules and comparing them against the member/group Benefits.
Updates all of the company's membership system components with investigation results for claim coordination.
Ensures correct forms are provided to assist members enrolling in Medicare.
Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in error.
Associate must identify the correct formulas in order to adjudicates impacted claims, using multiple COB Formulas for the various product types, pursuant to State and Federal Guidelines.
Handles complex case research and resolution.
May assist with training of new associates.
Minimum Requirements:
Requires a HS diploma or equivalent and a minimum of 3 years of claims processing and customer service and 3 years COB experience that required using NAIC & CMS COB guidelines; or any combination of education and experience which would provide an equivalent background.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $21.77 to $39.19
Locations: California; New York;
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.
