- Bright Horizons (Newton, MA)
- …and by engaging with representatives of government agencies + Support claim and litigation management needs by assembling documents, responding to subpoenas ... streamlined operational procedures to enhance efficiency **Required Qualifications:** + Associate Degree + Paralegal Certificate from an ABA approved program… more
- GE Appliances, a Haier company (Elkhart, IN)
- …of RV appliances, installation, and service procedures. + Experience managing warranty claims , technical escalations, and customer support cases. + Proven ability to ... + Proficiency in Salesforce or similar CRM tools for case and claim management. + Willingness to travel frequently for training delivery, conventions, and… more
- Hoffman Construction Company (Lake Oswego, OR)
- …support In-House Associate General Counsel with contract-related needs and some claim handing of Hoffman Construction and its affiliates. The Staff Attorney will ... company's interests. + Perform data analysis to proactively support claims identification and management to mitigate potential legal risk....law or a related field at a law firm preferred . Position Related Competencies + Action Oriented - Readily… more
- Helio Health Inc. (Syracuse, NY)
- …systems and patient access software. + Excellent understanding of Medicaid and Third-party claim procedures for both paper-based and electronic claims . + Strong ... programs when scheduled. + Other duties as assigned. Qualifications + Associate 's degree in healthcare administration, business administration, or a related field… more
- US Tech Solutions (Richmond, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- PPL Corporation (Allentown, PA)
- …PA._** Responsibilities **_The Buyer position may be hired at the Associate , Intermediate, or Senior level. The position responsibilities listed below reflect ... those of the Associate level. Additional/varying responsibilities maybe included for other levels...specific purchases or projects, expediting orders, price discrepancies, warranty claims , and the return or cancellation of purchase orders.… more
- Hartford HealthCare (Farmington, CT)
- …Performance Indicators (KPIs) and Productivity Standards). *Issue Resolution* 1. Reviews claim edits and revises coding/charging as appropriate for specific range of ... Reviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appeal. *Communication*… more
- Hartford HealthCare (Farmington, CT)
- …Performance Indicators (KPIs) and Productivity Standards). **Issue Resolution** 1. Reviews claim edits and revises coding/charging as appropriate for specific range ... Billing, Coding Quality, and Revenue Integrity) and processes corrections for clean claim submission or posts claim denial review for appeal. **Communication**… more
- US Tech Solutions (Columbia, SC)
- …of contract language and application. Thorough knowledge/understanding of claims /coding analysis/requirements/processes. Preferred Software and Other Tools: ... provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- Humana (Oklahoma City, OK)
- …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... townhalls and/or trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide the Perfect Experience in all… more