Claims Lead

Job SummaryPrime Therapeutics is seeking a highly skilled Claims Lead to join our team. As a Claims Lead, you will be responsible for adjudicating and submitting claims and adjustments, tracking and trending performance of root cause analysis, and providing additional training as needed. You will also resolve claims edits and suspended claims, manage...

Overview:At CCMSI, we seek talented individuals to become part of our professional team. As a prominent Third Party Administrator in self-insurance services, we are driven by a shared commitment to providing outstanding service to our clients. Being an Employee-Owned Company, we prioritize the growth of our employees through structured career development...

About the RoleThis is a unique opportunity to join CCMSI as a Medical Claims Specialist in our Albuquerque office. As a key member of our team, you will be responsible for handling designated medical-only claims and providing support to claim staff.Key ResponsibilitiesManage medical-only claims with attention to detail and adherence to corporate claim...

About the RoleThis is a unique opportunity to join CCMSI as a Medical Claims Specialist in our Albuquerque office. As a key member of our team, you will be responsible for handling designated medical-only claims and providing support to claim staff.Key ResponsibilitiesManage medical-only claims with attention to detail and adherence to corporate claim...

About CCMSIAt CCMSI, we strive to be a leading Third Party Administrator in self-insurance services, delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. We are certified as a Great Place To Work,...

At Prime Therapeutics, our mission is to ensure that individuals receive the essential medications they require for improved health and well-being. This commitment drives our every action and decision. Position Title Lead Treasury Operations Analyst - RemotePosition Overview The Lead Treasury Operations Analyst plays a pivotal role in collaborating with the...

POSITION SUMMARY:Under the guidance of the Director of Revenue Cycle Management, the Lead Coding Coordinator is responsible for ensuring that New Mexico Orthopaedics' non-clinical quality and service standards align with the organization's objectives and strategic vision. This role guarantees the seamless operation of daily activities and the provision of...

Position OverviewThe Analytics Organization (AO) at Presbyterian Healthcare Services stands as one of the most prominent in the nation. The mission of the AO is to convert data into actionable insights, facilitate strategic objectives, and create a competitive edge. The contributions of our skilled AO team members foster and enhance data-informed...

Overview Now hiring a Lead Patient Support - Sleep Clinic! As a Lead Patient Support will maintains proficiency in all clerical operations roles to govern accuracy in registration, scheduling, and check out prescribed workflows. Acts as mentor and trainer for front line clerical teams. First responder to investigate patient concerns and maintain customer...

Overview Now hiring a Lead Patient Support - Sleep Clinic! As a Lead Patient Support will maintains proficiency in all clerical operations roles to govern accuracy in registration, scheduling, and check out prescribed workflows. Acts as mentor and trainer for front line clerical teams. First responder to investigate patient concerns and maintain customer...

About the RoleAs an Insurance Sales Agent with David Redfield Farmers Insurance, you will have the opportunity to work with a leading insurance agency in the industry. Our agency is dedicated to providing exceptional service to our clients, and we are seeking a motivated and ambitious individual to join our team.Key ResponsibilitiesClient Consultation: Meet...

Job SummaryWe are seeking a highly skilled Pharmacy Order Entry Specialist to join our team at BrightSpring Health Services. As a Pharmacy Order Entry Specialist, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy operations.Key ResponsibilitiesTriage, interpret, and input orders into our computerized medication order...

Overview:Do you have the following skills, experience and drive to succeed in this role Find out below.At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an...

Position Overview:Are you a skilled nursing professional with a commitment to excellence in medical case management? At CCMSI, we are dedicated to attracting top-tier talent to enhance our team of experts.As a premier Third Party Administrator in self-insurance services, we share a unified goal of providing outstanding service to our clients.As an...

Now hiring a Lead Patient Support - Sleep Clinic! As a Lead Patient Support will maintains proficiency in all clerical operations roles to govern accuracy in registration, scheduling, and check out prescribed workflows. Acts as mentor and trainer for front line clerical teams.  First responder to investigate patient concerns and maintain customer focused...

Now hiring a Lead Patient Support - Sleep Clinic! As a Lead Patient Support will maintains proficiency in all clerical operations roles to govern accuracy in registration, scheduling, and check out prescribed workflows. Acts as mentor and trainer for front line clerical teams.  First responder to investigate patient concerns and maintain customer focused...

Position OverviewWe are seeking a Lead PL/SQL Software EngineerThis role involves defining and articulating system boundaries and objectives based on user requirements. The candidate will develop or adjust processes to address intricate challenges while considering the limitations of computing resources, operational timelines, and the desired outcomes....

Position Overview:We are seeking a Lead Oracle PL/SQL Engineer to join our dynamic team.Role Summary:This position is responsible for defining and articulating system requirements based on user expectations. Develops or adjusts methodologies to address intricate challenges while considering hardware capabilities, operational timeframes, and the desired...

Overview:Are you equipped with the skills, experience, and determination to excel in this position? Discover more below.At CCMSI, we seek exceptional talent to enhance our team of professionals. As a premier Third Party Administrator in self-insurance services, we are driven by a shared mission of providing outstanding service to our clients. As an...

Position Overview:Are you equipped with the necessary skills, experience, and motivation to excel in this role? Discover the details below.At CCMSI, we seek exceptional talent to enhance our team of professionals. As a prominent Third Party Administrator in self-insurance services, we are driven by a shared mission to provide outstanding service to our...