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Unique role benefits:The total compensation range for this position is $55,000 - $100,000 per year (Base Pay + Uncapped Monthly Medicare Discretionary Incentive Plan)Eligible for Allstate's full employee benefits from day one, including health insurance, pension, 401(k), tuition reimbursement, well-being programs and so much moreWe prioritize creating a culture that values your work/life balance.
$55,000 - $100,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs.
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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
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We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.
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At Rockville we have competitive compensation packages, exceptional health benefits, Generous paid time off, charitable giving company match program, support for parenthood with paid maternity and paternity leave, uncompromised commitment to diversity, inclusion, equity, and belonging initiatives, company matched 401k, employee stock purchase plan, and full-time remote work and other flexible options available for those outside commuting distance of Manchester, NH or Rockville Center, NY.
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Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation.
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Knowledgeable of HIT enabling health plan operations such as Enrollment and Eligibility systems, Claims Processing systems, and Utilization / Disease / Care Management systems. Experience working within a government-sponsored health plan, preferably a managed care plan, or very familiar with health plan operations.
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Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.
$2.5Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We value our employees and want our employees to take care of their overall wellbeing, which is why we offer best-in-class benefits such as health, vision, dental, employer paid provincial care premiums, Defined Contribution Pension Plan (DCPP), Tax-Free Savings Account (TFSA), Registered Retirement Savings Plan (RRSP), life insurance, paid time off, sick leave, all province observed holidays off, and gym membership discounts to fit your busy lifestyle.
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Certified Health and Safety Technician (CHST), Certified Safety Professional (CSP) or Certified Mine and Safety Professional (CMSP) certification strongly preferred. Follow up with the corporate insurance department as regards to high value insurance claims, to ensure that documentary information has been collected, secured, and preserved so that claims will be resolved in a timely manner as required at the local office.
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American Academy of Professional Coders (AAPC) CPC, CEMC or American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P coding certification preferred. The Provider Reimbursement Admin ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
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With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
$80,500 - $137,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience with pharmacy, health plan or clinical insurance claims billing, benefit assessments, billing/claims documentation, or claims auditing is preferred. Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program.
$18.13 - $22.6 an hourRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Health plan payer or health system experience (5 years minimum) in a payment integrity or revenue integrity related role required. The Payment Integrity Edits Manager is a Registered Nurse (RN) with active, unrestricted licensure through the Board or Agency charged with providing such licensure in the Auditor's state of residence or RHIA/RHIT/CCS certified through the American Health Information Management Association.
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