- Clark Construction Group, LLC (Mclean, VA)
- …attorneys in negotiating contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the ... implement, and ensure best practices and processes for litigation, discovery and claim management. **Qualifications** + Associate 's or Bachelor's degree, with a… more
- Corewell Health (Grand Rapids, MI)
- This position will support our non-contracted provider post claim appeals submitted to the health plan. Job Summary Responsible for the analysis, research and ... (external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy… more
- Robert Half Legal (Denver, CO)
- …arbitration, mediations, and trials, as necessary. * Provide legal advice to claims representatives in the course of their claim 's adjustment process. ... Description Litigation Associate Attorney Our client, a nationally recognized complex...specific focus on defending personal injury and auto insurance claims on behalf of insurance clients. You will be… more
- Allied Universal (Dallas, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- CareFirst (Baltimore, MD)
- …Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of authorization ... a liaison between the UM clinical teams, the technical support teams, and the claims operations teams.Working...indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …team, is critical to BCBSMA's goal of affordability. Key Functions: + Support implementation of identified opportunities to improve the effectiveness of the facility ... strategy, + Assist managing provider reimbursement strategic planning process + Support the facility reimbursement strategic planning process and strategy execution,… more
- RailWorks (New York, NY)
- …counsel and claims consultants, as necessary. Compliance + Assists the Associate General Counsel in the administration of the compliance requirements for the ... / per year Position Summary The Project Counsel ("Counsel") reports directly to the Associate General Counsel for LK Comstock & Company ("LKC" or "Company"), with a… more
- CareFirst (Baltimore, MD)
- …policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate ... proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical...to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated… more
- DriveTime (Fort Worth, TX)
- …experience in complaint resolution and/or loss mitigation; accounts payable, insurance or claims experience preferred + Associate degree or bachelor's degree in ... all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor… more