- Commonwealth of Pennsylvania (PA)
- …responsibilities will include servicing hydraulic, electrical, heating, cooling, exhaust systems , as well as manual and automatic transmissions. Additionally, you ... removed, or equivalent. + Must possess a valid Medical Examiner 's Certificate in accordance with the Federal Motor Carrier...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… 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 ... certifications from the State Water Resources Control Board; Collection System Maintenance Technologist Certification from the California Water Environment… more
- Sedgwick (Baton Rouge, LA)
- …+ Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ... Compliance systems + Responds to questions from examiners about Medicare...+ Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to… more
- Sedgwick (Columbus, OH)
- …reviews through the pharmacy benefit manager or vendor. + Communicates effectively with claims examiner , client, vendor, supervisor and other parties as needed. ... client's situation to include psychosocial needs, cultural implications and support systems in place. + Evaluates patient drug usage and physician prescribing… more
- BlueCross BlueShield of North Carolina (NC)
- …training/relevant professional qualification. + In-depth knowledge of healthcare systems claims processing, coding/reimbursement, and regulatory requirements ... Collaborate internally with other departments to create and maintain a seamless claims payment integrity program. Serve as liaison with other key departments… more
- Centene Corporation (Frankfort, KY)
- …Word, Xcelys, SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred ... teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions… more
- Air National Guard Units (Langley AFB, VA)
- …Training. Validates course attendance is complete and updated in the proper systems . Ensures application procedures for skill level technician training and resident ... of multimedia education and training programs. Serves as test examiner and the alternate test control officer. Responsible for...GS-07 level or equivalent pay band in other pay systems in the Federal government. This experience may also… more
- LA Care Health Plan (Los Angeles, CA)
- …by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Manages complex projects, engaging and updating key ... with cross-functional teams, senior leadership, and delegates. Plans and implements systems and procedures to maximize operating efficiency and achieve strategic… 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
- Air National Guard Units (Tyndall AFB, FL)
- …administer refresher and advanced training to ANG military AOC weapons systems positional specialists. Instructs and evaluates AOC assigned technician personnel in ... advanced aerospace operations applications using current AOC weapons systems of record. Instructs and evaluates enlisted AOC specialties to become instructors.… more