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Payor Relations Director- Physician Credentialing/ Revenue Cycle

Mangrum Career Solutions LLC - Reading, MA
... Identify opportunities to utilize technology to improve eligibility verification, claims adjudication, claims payment and cash posting. Credentialing Oversee the credentialing team and processes including mentoring, training, and developing team ... - Mangrum Career Solutions, Aug 24


Mohawk Industries - Pompano Beach, FL
... + Performs receiving duties such as receive and unload inbound material, process inbound shipments, stock material, process customer returns and notify management of damaged shipments for freight claims. + Maintains clean and organized facility by ... -, Aug 23

Patient Account Representative

Centura Health - Centennial, CO
... *_Job Description/Job Posting ID: 83776_* *_Recruiter Contact:_* Michelle Jetter *_Schedule:_* Full-Time *_Shift:_* Days *_Position Summary_* Responsible for accurate and timely processing and posting of patient claims. Facilitates resolution of ... - Aug 24

Warranty Technician

Suncor - Canada, Calgary, Alberta
... subject matter expert within mine equipment maintenance Work within SAP to update and track work orders and to create warranty claims Strive for warranty operational excellence by collaborating with all stakeholders to maximize warranty benefits ... - Suncor, Aug 23

Provider Relations Network Consultant

Aetna - Columbus, OH
... FUNCTIONAL EXPERIENCES Functional - Claims/Policies & procedures/1-3 Years TECHNOLOGY EXPERIENCES Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User REQUIRED SKILLS Service/Providing Solutions to Constituent Needs/FOUNDATION DESIRED ... -, Aug 23

Financial Associate

Aetna - Hartford, CT
... to-date performance results Periodic presentation opportunities to senior leadership Opportunity to learn about all aspects of business (claims, revenue, SG&A, forecasting, reserving, pricing, underwriting) Aetna is about more than just doing a job. ... -, Aug 23

Care Management Associate

Aetna - Downers Grove, IL
... May assist in the research and resolution of claims payment issues. Supports the administration of the hospital care, case management and quality management processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case ... -, Aug 23

Network Consultant

Aetna - Charleston, WV
Req ID: 35369BR POSITION SUMMARY This position will assist Provider Relations in the review of claims projects and issues as well as other duties as assigned for Provider Relations. Fundamental Components: This position will assist Provider ... -, Aug 23

Field Case Mgr-Medical CA

Aetna - San Diego, CA
... ADDITIONAL JOB INFORMATION High initiative, challenging position that utilizes critical thinking and effective communication skills while working with injured workers, employers, claims examiners, attorneys, and treatment providers to improve ... -, Aug 23

Actuarial Consultant

Aetna - Hartford, CT
... & financial management processes preferred - Experience working with pharmacy and/or medical claims data required EDUCATION The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience. ... -, Aug 23
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