- Zelis (NJ)
- …quality assurance program to ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client turnaround time, and department ... across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with...achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10… more
- City of New York (New York, NY)
- …eligibility of Food Stamp benefits. - Verify the case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), ... HRA One Viewer, IPay, Automated Listing of Eligibility Requirement Tracking System (ALERTS), collateral mailed inquiries, telephone contacts and other means for… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …and access to grow your career **POSITION PURPOSE** Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt ... SUPERVISOR, CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing, Claims , Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting,… more
- Sunrise Senior Living (Randolph, NJ)
- …etc.). + Create and maintain team member personnel information in appropriate systems ; Human Resources Information System (HRIS), ATS, Provider Trust. + ... in a timely manner. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. **Quality Assurance, Safety and… more
- City of New York (New York, NY)
- …DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be responsible for the monitoring and tracking of Mental ... contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates....provider consolidated fiscal reports (CFR) Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. -… more
- Carle Health (Champaign, IL)
- …varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system , assisting with various patient or payor ... coding and encoders as a means to ensure compliant billing of Carle claims . HIM Certified Coder is responsible for understanding and applying all regulatory coding… more
- 24 Hour Fitness, INC. (CA)
- …supporting the Legal Department in responding to and managing disputes, claims , subpoenas, and litigation relating to: labor and employment, consumer protection ... and billing, real estate, public accommodation disputes, claims , and litigation. ESSENTIAL DUTIES & RESPONSIBILTIES * Under direction of attorney, provide claims … more
- City of Tacoma WA (Tacoma, WA)
- …be part of a team of four attorneys, two paralegals and a legal assistant responsible for assisting with pre-litigation claims , evaluating cases, developing case ... appointed officials. This is a litigation position involving tort claims , claims under the Public Records Act,...of litigation experience + Experience as in-house counsel, eg, Assistant Attorney General, or municipal attorney, or experience in… more
- Stony Brook University (East Setauket, NY)
- …following up on rejected, denied insurance claims and/or experience using claims scrubber systems . + Experience with Inpatient and Outpatient billing ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Veterans Affairs, Veterans Health Administration (IN)
- …(HIM) Section of Health Administration Service at the VA Ann Arbor Healthcare System . This assignment serves as the Assistant Chief of Health Information ... consistent with the official guidelines for coding and reporting. They resolve claim edits referred to coding management and monitor reports for outstanding… more
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