This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

Sells appropriate products, features, and services based on customer needs. Resolves customer pain points in one interaction utilizing in store systems and digital tools. Coach in all directions and provide actionable feedback that improves performance. Takes ownership of store performance. Lead by example in training completion and staying up to date on product and servi

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

Symetra has an exciting opportunity to join our team as Claims Examiner for Supplemental Health! About the role In this role, you will primarily make claim decisions for our critical illness, scheduled or group accident and hospital indemnity supplemental health products and may also work with our limited benefit medical (LBM), and/or minimum essential coverage (MEC) prod

Puget Sound Energy is looking to grow our community with top talented individuals like you! With our rapidly growing, award winning energy efficiency programs, our pathway to an exciting and innovative future is now. PSE'sLegalteam is looking for qualified candidates to fill anopen Senior Regulatory Compliance Analyst Investigations position! Specific details regarding th

Find your place at The Partners Group, a purpose driven company committed to making a difference in our community?through our work and inspiring others to do the same. TPG’s success is driven by a culture that values partnerships. We’re looking for people who invest in their relationships, seek to learn, create winning solutions for all, and do what they say t

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

(65%) Insurance Administration Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority Determines if patient's insurance is a part of the provider network Makes outgoing calls to insurance companies for pre certification or any authorization Receives pre authorization from patie

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

Milliman's Seattle Health Practice is looking for an Actuarial Analyst with experience in health actuarial work. The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self motivation and the ability to lead a team of analysts are also necessary for success. We provide extensive on t

Supports Clinic Supervisor and/or Manager in instruction of coding education classes provided to providers, and clinic support staff Assists Coding Supervisor and/or Manager with annual and ongoing updates to clinic encounter forms. Required qualifications Upon hire Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Te

Milliman's Seattle Health Practice is looking for actuarial analysts to work with consulting actuaries in the development and use actuarial models for various purposes, including pricing and forecasting. This position provides excellent opportunities for professional growth in the healthcare actuarial field. We provide extensive on the job training in consulting skills an