Claims jobs in columbia USA
184 claims jobs found in columbia: showing 121 - 140
Managed Care Coordinator Um Ii
Company: Paladin Consulting |
interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum..., etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care I
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health... for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Analyst, Appeals
Company: Paladin Consulting |
. Knowledge of claims systems. Presentation skills. Preferred Software and Other Tools: Excel or other spreadsheet software... office environment. Deadline driven environment. SKILLS Required: * CLAIMS CLINICAL DOCUMENTATION CLINICAL REVIEW...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care I
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health... for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care I
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health... for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Reviewer Iii, Medical
Company: Paladin Consulting |
. Provides support and review of medical claims and utilization practices. 70% Performs medical claim reviews... for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Customer Service Representative
Company: Paladin Consulting |
, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical... appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. 45% Ensures...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care Ii/cm-dm
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Manger, Product Development
Company: Paladin Consulting |
, underwriting, actuarial, claims, information systems, finance) to provide innovative approach to new product lines. 30% Identifies... (marketing, underwriting, actuarial, claims, information systems, finance). 20% Monitors competition for any changes in the...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care Ii/cm-dm
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Reviewer I, Medical
Company: Paladin Consulting |
sets or clinical guidelines. Provides support and review of medical claims and utilization practices. 80% May provide... any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care I
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health... for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 30 Jan 2025
Coordinator, Managed Care I
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health... for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 29 Jan 2025
Coordinator, Managed Care Ii/cm-dm
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge..., etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 29 Jan 2025
Coordinator, Managed Care Ii/cm-dm
Company: Paladin Consulting |
management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 29 Jan 2025
Analyst, Provider Enrollment
Company: Paladin Consulting |
: Microsoft Office. Preferred Skills and Abilities: In-depth knowledge of provider certification process, claims processing.... Skills: Required * CLAIMS ACCURATE DATA ENTRY ORGANIZATIONAL SKILLS PRESENTATION SKILLS CUSTOMER SERVICE Additional...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 29 Jan 2025
Entry Level Insurance Agent
Company: Summers Agency |
insurance policies, providing insurance advice, and assisting with insurance claims Help with the licensing process...Location: Columbia, SC, USA
| Salary: unspecified | Date posted: 29 Jan 2025
Pharmacy Operations Manager
Company: Walgreens |
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical...Location: Columbia, SC, USA
| Salary: $22.5 - 31 per hour | Date posted: 26 Jan 2025
Work From Home Sales Representative Uncapped Commission (no Experience Necessary)
Company: The Baldini Agency |
needs. Close sales and achieve sales quotas. Policy Management: Assist clients with policy changes, renewals, and claims...