At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovativ

Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities Responsible for providing technical expertise to applicable product line benefits division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsib

Directs and co manages the operations of the LTC Claims team. Responsible for recruitment, selection, training, development, retention, motivation and salary administration of the LTC Claims personnel. Directs and monitors the activities of the team to ensures timeliness and productivity. Ensures adherence to established practices and procedures, contract provisions, and

Scope and develop effective learning solutions which are delivered to the business in accordance with Group L&D requirements. Evaluate the impact of the solutions against agreed outcomes, which may include one or more components to support EQ's people across all job levels, in developing the skills required for their role. L&D Specialists may be required to support learne

Reimbursement Specialist III Job ID 2024 27320 # Positions 1 Job Location US Telecommute Regional Remote Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically

of Responsibilities Manage a team of senior level claim specialists and/or supporting technical staff. Claims processed are primarily third party claims on our personal lines and commercial lines of business but could include all lines of business. Oversee the investigation and settlement of all claims, litigated and non litigated assigned to the team. Provide advice and d

QUALIFICATIONS Education Required – High school diploma or its equivalent; Associate's Degree or higher in a related field is preferred. Strong knowledge of business office functions including accounts payable and accounts receivable. Excellent organizational skills and the ability to work independently, problem solve, and prioritize tasks. Ability to maintain s

Claim Processor Worker's Compensation Job Locations US WI Merrill | US WI Milwaukee ID 20243396 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we've made it our business to protect those who serve and inspire ot

The Dentist provides professional, high quality dental diagnosis, treatment and education to a broad range of patients, including children, adolescents and adults. ESSENTIAL FUNCTIONS The list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time. Provides ha

Establishes accounts with accurate demographic and financial information to produce a clean claim to the third party payor. Ensures that all compliance forms are appropriately completed and documented on the patient's account. Efficiently coordinates registrations of all patients. Front line staff is the first impression for the Hospital so excellent customer skills are r

Perform a wide variety of duties and assume a leadership role in providing High Performance Doors (HPD) parts support and training to internal client's resource teams along with distributors and their service departments and technicians. Act as the HPD Parts subject matter expert for all areas of the aftermarket business unit. Responsibilities Act as a Product Specialist/

Establishes accounts with accurate demographic and financial information to produce a clean claim to the third party payor. Ensures that all compliance forms are appropriately completed and documented on the patient's account. Efficiently coordinates registrations of all patients. Front line staff is the first impression for the Hospital so excellent customer skills are r

Title/PD# Contract Specialist / PD13300A Remote This is a Remote position Compressed or Flexible Work Schedule May be authorized Financial Disclosure Reporting Required Physical Requirements The work is primarily sedentary, although there are regular and recurring construction inspections requiring a considerable amount of walking, stooping, bending, and climbing. Promotio

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

Duties Basic Functions Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the CVHCS. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease proc