- Eaton Corporation (Fayetteville, NC)
- …with warranty claim processing. **In this function you will:** A. Support the analysis and solution of quality problems, disposition of non-conforming material, ... and business considerations. **What you'll do:** The Quality Technician will support the analysis and solution of quality problems, processing/disposition of… more
- MyFlorida (Tallahassee, FL)
- …Insurance, Program Integrity Unit as an Audit Manager and will serve as an auditor and contract manager for the state group insurance program's post payment ... claims audits and the Pharmacy Benefits Manager compliance audit....accuracy. + Prepares clear and concise investigatory reports to support findings of potential fraud, waste and abuse. +… 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
- 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
- UGI Corporation (King Of Prussia, PA)
- …will have a background in corporate governance, real estate and litigation support , with exceptional organizational skills and a proactive approach to legal ... support . The employee is expected to provide paralegal ...assist with drafting corporate resolutions and secretary's certificates. Handle auditor request letters. + Real Estate: Assist on right… more
- Johns Hopkins University (Baltimore, MD)
- …including performing effective risk assessments and meeting with institutional management to support the development of the annual audit plan. + Oversee a portion ... to ensure effective utilization in completing assigned projects. + Provide day-to-day support for assigned staff, eg create open lines of communication, provide… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding...made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist… more
- Elevance Health (Los Angeles, CA)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... you will make an impact:** + Assists higher level auditor /lead on work as assigned, including performing special audits and targeted audits as requested by internal… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …position must be willing and able to 1) review and process grantee monthly claims ; 2) pay approved invoices; 3) reconcile daily warrant or check registers; 4) update ... are followed; 8) perform site visits; 9) process and pay victim compensation claims ; and 10) complete other duties as assigned by management. Requirements &… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more