Welcometo one of the toughest and most fulfilling ways to help people, includingyourself. We offer the latest tools, most intensive training program in theindustry and nearly limitless opportunities for advancement. Join us and startdoing your life's best work.(sm) Primary Responsibilities:Provide expertise claims support byreviewing, researching, investigating, negotiating and resolving all types ofclaims as well as recovery and resolution for health plans, commercialcustomers and government entitiesAnalyze and identify trends and providesreports as necessaryEnsure adherence to state and federalcompliance policies, reimbursement policies and contract compliance
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.