- Community Health Systems (La Follette, TN)
- …as assigned. + Complies with all policies and standards. **Qualifications** + Associate Degree in Accounting, Health Information Management , or related field ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …internal and external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key ... Include:** **Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational… more
- Walworth County (Elkhorn, WI)
- …documents. Analyzes all HHS provider audits for financial requirements. Participates in DHHS management meetings as directed by the director of health and human ... Other duties may be assigned. This job description reflects management 's assignment of essential functions; it does not prescribe...of the finance manager and in cooperation with the director of health and human services. Prepares budget and… more
- Carle Health (Champaign, IL)
- …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health… more
- The City of Houston (Houston, TX)
- …candidates with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management , including ... experience? + Yes + No 04 Do you have Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management ? + Yes + No 05 Do… more
- Zurich NA (Lansing, MI)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 3 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- Baylor Scott & White Health (Round Rock, TX)
- …+ When adverse events harm patients, the CRM, led by the Corporate Director of Risk Management , investigates to evaluate patient harm. If organizational ... Clinical Risk Manager (CRM) directs and coordinates clinical risk management for the hospital (Greater Austin Region and College...risk is found, the Corporate claims manager will review the event further. The CRM… more
- Corewell Health (Grand Rapids, MI)
- …(external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management , medical, ... Degree or equivalent + Working knowledge of Priority Health systems for claims payment, care management , authorizations, customer service interactions, pharmacy… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and logs as… more
- WM (Reserve, LA)
- …and to maintain regulatory compliance. Also responsible for local coordination and management of claims -related activities, including working closely with third ... party administrators (TPA) and management to resolve claims at the least...(North America & LATAM):** **Experience (EMEAA):** **Certifications and/or Licenses:** Associate Safety Professional (ASP) Certified Director of… more