- Bozeman Health (Bozeman, MT)
- …Provides information regarding available patient assistance programs. Assists in the claims denial process for insurance carriers and develops an appropriate appeals ... Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In addition… more
- Constructive Partnerships Unlimited (Queens, NY)
- Nurse Case Manager Type of Position Full time Search Location(s) Queens, NY Apply Now ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- Amazon (Arlington, VA)
- …and Activity (RRA) team who will be responsible for regulatory response case managing. This role combines strategic planning with practical implementation to ensure ... aligned with current legislation and industry's best practices - Lead case assessment processes and implement control measures across various operational areas… more
- Travelers Insurance Company (New York, NY)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Sedgwick (Dayton, OH)
- …Workers' compensation claims under supervision and in collaboration with Clinical Case Management Team. + Collect and document data for Workers' Compensation ... world's most reputable brands + An assigned Preceptor and manager who will guide you on your career journey...Claims while adhering to Case Coordinator Workflow… more
- Sedgwick (Bedford, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office . Our Bedford ... a promising career with growth opportunity? We are hiring for Automotive Customer Case Coordinators. We help auto customers through the manufacturing claims … more
- The Hershey Company (IN)
- …providers, including, but not limited to, physical therapists, specialists, and/or Nurse Case Managers. * / Claims Management/* * Timely and accurate ... (No Remote) * Job Summary:* Reporting to the EHS manager , the Occupational Health Nurse will provide professional and...* Acting as the Subject Matter Expert on work-related claims and claim statuses, collaboration with TPA claims… more
- Elevance Health (Reno, NV)
- …if this individual is providing services in multiple states. + Certification as a Case Manager is preferred For candidates working in person or virtually in ... accommodation is granted as required by law._ The Nurse Case Mgr I is responsible for performing care management...as applicable. + Assists in problem solving with providers, claims or service issues. Requirements: + BA/BS in a… more
- PPL Corporation (Allentown, PA)
- …that support education, sustainability, and wellbeing. Overview The **Associate Project Manager ** is the single point of accountability for small to routine ... Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for...of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective - Autism Location: Remote Career Area: Health ... ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
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