- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Payment… more
- Hartford HealthCare (Farmington, CT)
- …3. Provides input on decisions that affect workflows effecting timely resolution of insurance claims . 4. Provides support for other ad hoc analyses and projects ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and...efforts to review and resolve issues related to insurance claim denials, no response claims and payment… more
- Commonwealth of Pennsylvania (PA)
- …social services, human services, corrections, or law enforcement experience, and an associate 's degree;or + A bachelor's degree in criminal justice, law enforcement, ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited ... inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding… more
- Ventura County (Ventura, CA)
- …field. + Certification as an Associate in Risk Management (ARM), Associate in Insurance Services (AIS), Workers' Compensation Claims Professional (WCCP), or ... Incentive: Additional cash payment of 2.5% for completing an associate degree, 3.5% for a bachelor's degree, or 5%...8 hours per day, Monday through Friday. We ensure support for all County agencies, promote seamless collaboration, and… more
- MetLife (Aurora, IL)
- …procedures team. * Coach and mentor STD & PFML associates to drive improvements in claim handling. * Provide additional support to the quality team as needed. ... group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create innovative solutions to… more
- Commonwealth of Pennsylvania (PA)
- …accuracy and detailing of bridge and structure plans completed by others, providing support and mentorship to junior staff members, and striving to meet or exceed ... six months of CADD experience or training and an Associate 's Degree in civil engineering, drafting, or design technology;...of determining your eligibility for the position. Information to support your eligibility for the position must be provided… more
- Commonwealth of Pennsylvania (PA)
- …and techniques used in a roadway maintenance management system; and an associate 's degree in a field of business administration, computer science, highway ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …waste investigations, and monitoring post-construction activities, as well as providing support to construction and maintenance teams in resolving issues. Work ... Board for Professional Engineers, Land Surveyors and Geologists, and an associate 's degree in civil engineering technology or a closely related engineering… more
- The County of Los Angeles (Los Angeles, CA)
- …staff. Develops and directs the implementation of operational plans to support the County's/department's business goals. Works with department/business managers to ... work of subordinate supervisors whose staff provide data center operations and support of hardware, software and other technology support functions. Coordinates… more