- Elevance Health (Louisville, KY)
- …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 field work as assigned and acts as...Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider… more
- Indy Gov (Indianapolis, IN)
- …contacting customers and/or Assessor's Office for follow-up + Enter and review received claims in PVD.net taxing system and leave detailed notes regarding ... Building, IN Job Type Full Time Job Number 09377 Department Marion County Auditor Opening Date 12/02/2025 Closing Date 12/12/2025 11:59 PM Eastern + Description +… more
- The County of Los Angeles (Los Angeles, CA)
- …Mass Cancellation and Accounts Payable/Commitment Reports for submission to Auditor -Controller (A-C) by coordinating with Administrative Services Bureau (ASB) and ... recommendations to variances between the electronic Countywide Accounting and Purchasing System (eCAPS) Database Extract File - Encumbrances to the eCAPS Adhoc… more
- Eaton Corporation (Fayetteville, NC)
- …that will lead to a two-year degree preferred. * Experience with Eaton Quality System , Eaton IT systems VISTA/CMS/CQM/AS 400/WISPER, and Eaton Lean System ... compliance and creating Quality documents in alignment with Quality Management System /EQS requirements. Ability to read documentation to make complete fact-based… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …services, including coding accuracy, documentation sufficiency, charge capture, modifiers, and claim edits. Audits to be performed are identified based on the ... audits designed to review the adequacy of medical record documentation to support claims as well as inquiries into suspected or reported deviation from billing… more
- Covenant Health Inc. (Knoxville, TN)
- …in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, ... patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position… more
- Actalent (Phoenix, AZ)
- …company specializes in manufacturing lap belts, multi-point safety restraints, and airbag systems for aircraft. The ideal candidate will be responsible for following ... FAA 14 CFR Part 21 and Part 145 quality system documentation. + Act as the primary point of...FAA quality standards. + 5 years of aerospace quality systems experience. + Proficiency in root cause analysis. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems , claims flow, adjudication process, system edits and display ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Trinity Health (Albany, NY)
- …providers to claims being submitted for their services. Using billing system work queues and natural language processing (NLP) tools to support addressing HCC ... High School Diploma or GED **ESSENTIAL FUNCTIONS:** Meets Health System 's Guiding Behaviors and Caring Standards including interpersonal communication...codes for Risk Adjustment before a claim is submitted to payers. . Demonstrate a solid… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... for Rochester Public Utilities. The incumbent will design, create, and maintain systems used to effectively initiate, record, and report financial transactions and… more