- Hartford HealthCare (Farmington, CT)
- …of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees ... the system.*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE MANAGEMENT AUDITOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. CANDIDATES MUST STATE THE TITLE ... develop and maintain a strong financial infrastructure to enable and support the delivery of high-quality, effective, and impactful contracted services. The… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the state or any of its agencies, whether or not ... of Federal Regulations. ORM contracts with a third party administrator to provide claims adjusting and loss prevention services, however ORM retains its authority to… more
- Medical Mutual of Ohio (OH)
- …quality of care received by members. Works closely with the Quality team to support strategies to improve quality of care received by members, and members' health ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- Covenant Health Inc. (Knoxville, TN)
- …Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance ... appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as...coordinates insurance appeals. + Provides assistance to auditors and support staff as it relates to front end and… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are… more
- Defense Logistics Agency (New Cumberland, PA)
- …Supports the development and execution of financial policies and procedures. Provides audit support such as responding to auditor request and developing and ... education to qualify? You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are… more
- MyFlorida (Tallahassee, FL)
- …years of professional experience as a Financial Examiner/Analyst I or Internal Auditor with the State of Florida. Professional or nonprofessional experience as ... three months' expenditures. Ensures spending plans are timely received and approved to support compliance with the net cash resource limit. Follows up on Net Cash… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… more