- University of Rochester (Albany, NY)
- …codes as they pertain to claim processing and coding. + Escalates system issues preventing claims submission and follow-up for review and resolution. 5% ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- R1 RCM (Austin, TX)
- …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the ... AI, intelligent automation, and workflow orchestration Job Description The Follow Up Associate II rep will be responsible for investigating and examining denial… more
- Sedgwick (Baton Rouge, LA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Medicare Associate **Job Description** + Set up new Medicare Lien Resolution (MLR) referrals ... in the Medicare Compliance System + Electronically sort and index Medicare mail in...index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners about Medicare… more
- System One (Frisco, TX)
- …and verify accuracy of patient demographic, insurance, and charge information before claim submission. + Assign and validate CPT, ICD-10, and HCPCS codes based ... on provider documentation. + Prepare, submit, and track electronic and paper claims to insurance carriers; post payments, adjustments, and refunds accurately in the… more
- IQVIA (Wayne, PA)
- Job Description Summary: ** Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... **Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable… more
- OhioHealth (Mansfield, OH)
- …and extent of any hospital exposure/liability; in collaboration with the Risk Manager, Systems Director, and/or the General Counsel, for claims within the ... **We are more than a health system . We are a belief system .**...Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk… more
- Duquesne Light Company (Pittsburgh, PA)
- …and outcomes. We want you to join our team! **Job Title:** Paralegal Associate III **Position Summary:** We are seeking a highly skilled and detail-oriented ... to manage the full litigation lifecycle including high-value and complex claims . This role requires advanced knowledge of Pennsylvania civil procedure, particularly… more
- Lowe's (Passaic, NJ)
- …partners, BDC, and outlet teams * Resolve customer and cargo issues, and ensure claims are updated in Lowe's systems Minimum Qualifications * High School diploma ... and inventory reporting * Manage all functions in the Warehouse Management System (WMS), including scanning, dispatching, and validation * Generate and monitor… more
- Sharp HealthCare (San Diego, CA)
- … claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and ... + Associate 's Degree + 2 Years Direct experience in project planning and system implementation. + Experience as systems analyst within a large Health Plan.… more
- Lowe's (Nashville, TN)
- …partners, BDC, and outlet teams + Resolve customer and cargo issues, and ensure claims are updated in Lowe's systems **Minimum Qualifications** + High School ... **Your Impact at Lowe's** The Market Delivery Warehouse Associate plays a vital role in supporting last-mile delivery operations by managing the accurate handling,… more
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