- Zelis (FL)
- …Identify new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department ... clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding ... clinical and coding knowledge, analyzing provider billing patterns, and evaluating related claim history to ensure accurate payment integrity. You must be able to… more
- Zelis (St. Petersburg, FL)
- …on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify billing accuracy ... performance to ensure savings are maximized and captured timely through proper claim handling. Effective and proven leadership experience is a must as… more
- American Express (Phoenix, AZ)
- …journeys from new acquisitions to Credit & Collections, ensuring we protect the company 's assets & brand. As part of GCFO, Global Fraud oversees the end-to-end ... management of Fraud & Authorization Servicing and Claims processing worldwide. Our mission is to ensure every...unwavering commitment to protecting both our customers and our company . We are seeking a dynamic and strategic colleague… more
- Crown Equipment Corporation (Long Beach, CA)
- …+ Review monthly A/R reports on all vendor warranty accounts. + Process all warranty claim paperwork and track claims from the time they are submitted to the ... Warranty Coordinator Branch Location: Long Beach, CA, US, 90801 ** Company Description:** Crown Equipment Corporation, one of the world's largest lift truck… more
- Commonwealth of Pennsylvania (PA)
- …Handle cash management, sales reporting, and maintain accurate records in line with company policies and procedures + Help ensure compliance with all relevant laws, ... regulations, and company policies related to alcohol sales + Collaborate with...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …Responsibilities: + Supervise and manage store operations during shifts, ensuring adherence to company policies and procedures + Lead, motivate, and manage a team of ... record maintenance + Help ensure compliance with all relevant laws, regulations, and company policies related to alcohol sales + Collaborate with the General Manager… more
- Commonwealth of Pennsylvania (PA)
- …Handle cash management, sales reporting, and maintain accurate records in line with company policies and procedures + Help ensure compliance with all relevant laws, ... regulations, and company policies related to alcohol sales + Collaborate with...PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have supervisory or management experience… more
- Unilever (El Segundo, CA)
- …and marketing of SmartyPants products. The RA Manager will serve as the Company 's operational expert on claims review, providing direction and insights to ... knowledge of regulatory requirements to make substantiated label and marketing claims , is extremely detail- and solution oriented, has excellent communication skills… more
- Sedgwick (Lansing, MI)
- …surrounding cities). + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, ... PURPOSE OF THE ROLE** + To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ARE YOU AN… more