- Molina Healthcare (Nampa, ID)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. +… more
- JB Hunt Transport (Lowell, AR)
- …role in the legal process by thoroughly investigating, reviewing and assessing claims and legal cases to ensure compliance with applicable laws and regulations. ... and other legal professionals to support the successful resolution of claims and litigation matters. **Job Description:** **Key Responsibilities:** + Analyze and… more
- MyFlorida (Daytona Beach, FL)
- …medical record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being ... and education must be verifiable. Please attach any credentials you claim (degree, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: + Willingness… more
- Munson Healthcare (Traverse City, MI)
- …care, follow-up, and referral. Provide case management support for complex/long-term claims . + Provide leadership, direction and coordination of all clinical ... BLS + Registration with Federal Motor Carrier Safety Administration, preferred . (Obtain within 3 months of employment) + Medical...6 months). + Opportunity to become and Aviation Medical Examiner (FAA examiner ), now offered by the… more
- City of Long Beach (Long Beach, CA)
- …and consultant contracts, including analyzing and negotiating contract changes, evaluating claims and reviewing and processing progress payments; and performs other ... Technologist Certification from the California Water Environment Association; Plans Examiner certification from the International Code Council (ICC), Certified… more
- University of Rochester (Rochester, NY)
- …OIC leadership to determine corrective action, such as formal self-disclosures or claim adjustments + Assists in responding to external audits and government ... integrated health system, an Academic Medical Center, or other comparable setting preferred . + **Certifications** + One of the following credentials is preferred… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Department (generally, decisions to assess a taxpayer or decisions to deny a claim for refund) to receive additional administrative review of these decisions. Upon ... the request and discretion of the hiring agency. + Preferred Shift/Location: Select all location(s) and shift(s) you are...principles at the full working level of a Revenue Examiner 2. MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED + College… more
- UCLA Health (Los Angeles, CA)
- …reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' ... Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees who have experienced work-related injuries or… more
- State of Indiana (Indianapolis, IN)
- …and their families from loss or harm. Consumers may need assistance with certain claim situations or just help in understanding how their policies work. Our other ... present various reports or gather specific information requested by the Manager, Chief Examiner , or Commissioner. The job description is not designed to cover or… more
- LA Care Health Plan (Los Angeles, CA)
- …data by delegates on a monthly basis to assign the annual claim processing and financial solvency audits, adherence to regulatory requirements. Manages complex ... lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree Experience Required: At least 6 years of experience in… more