- PeaceHealth (Vancouver, WA)
- …Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement ... **Essential Functions** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + Identifies trends in billing and follow-up, in… more
- Humana (Oklahoma City, OK)
- …determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front line relationship management for ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and ... Special Needs Trusts, and/or restitution recoveries. + Performs advanced research of claims to identify claims associated with accident-related diagnoses and… more
- 32BJ Benefit Funds (New York, NY)
- …their dependents. The team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and external) to inform improvements ... other modern data architecture patterns + Prior exposure in the healthcare claims data industry preferred Soft Skills (Interpersonal Skills): + Outstanding verbal… more
- Pacific Seafood (Warrenton, OR)
- …Environmental, Health, and Safety (EHS) Programs. Manage on-the-job injury claims and documentation, facilitate orientations and trainings, conduct facility ... or implement corrective action. + Perform on-site workers' compensation claims management, eg, investigation, root-cause analysis, reporting, medical follow-up, etc.… more
- Allied Universal (Oakland, CA)
- …those who count on you. **Job Description Summary** **Pay:** **$84,000.00/Yr.** The Associate Director Safety & Security is responsible for working with the Director ... for all leased or owned University properties. + Conduct claims evaluations, accident inquiries, and evaluate risk management ...support. Physical Requirements: The physical demands described here are representative of those that must be met by an… more
- Immigration and Customs Enforcement (Washington, DC)
- …Advisor (OPLA) is seeking multiple attorneys to join our legal team as Associate Legal Advisors (ALAs) in our Headquarters Commercial and Administrative Law Division ... administration; Litigate bid protests before the Government Accountability Office and claims before the Civilian Board of Contract Appeals; Assist Department of… more
- Omnicell (Fort Worth, TX)
- …forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner ... the design of necessary accounting protocols for submission of payment and claims posting activities. . Quickly and accurately answer customer questions; route… more
- WestCare Foundation (Fresno, CA)
- …DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted accurately and timely directly to insurance carriers and ... those listed below. ESSENTIAL JOB FUNCTIONS: + Prepare, submit and track CalAIM claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify… more