- Avera (Sioux Falls, SD)
- …Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission. + Investigate denials and underpayments, identify root causes, and ... recommend process improvements. + Manage appeals for underpaid claims , track outcomes, and report on recovery efforts and...Qualifications** The individual must be able to work the hours specified. To perform this job successfully, an individual… more
- Future Tech Enterprise, Inc. (Garden City, NY)
- …sensitive financial information. This is anon-site position in Garden City, NY.The work hours are Monday - Friday 8:30 - 4:00. Our benefit package includes Medical, ... as needed. + Process and maintain records related to workers' compensation claims . + Support payroll team with additional administrative and accounting tasks as… more
- Performance Food Group (West Mifflin, PA)
- …the Transportation department in safety and compliance duties related to DQ Files, Hours of Service, Drug Testing, MVR Checks, and more. + File Auto Liability ... and Worker's Compensation claims , maintain AL/WC files, interface with AL/WC carrier, including...interface with AL/WC carrier, including the attendance of Quarterly Claim Review meetings with TPA. + Support Corporate direction… more
- ProMedica Health System (Evansville, IN)
- **Location:** HRI Dental **Department:** Health Services **Weekly Hours :** 40 **Status:** Full time **Shift:** Days (United States of America) **Job Summary:** As a ... communicate with outside clients (dentists, members, agents and employer groups) for claim , enrollment and benefit service support. You will direct clients to the… more
- Ball Corporation (Millersburg, OR)
- …analyses quality areas, including quality goals, quality problems, defective materials, claims and customer quality problems. Advises plant management and the ... on quality issues and cost reductions. + Administers customer and vendor claim reimbursement systems. + Performs leaker awareness training at the customer level.… more
- Centene Corporation (Sacramento, CA)
- …+ Review benefit/formulary setup and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned + Complies with all policies and ... Located in or able to work Pacific Time (PST) hours + Advanced Excel skills (eg, pivot tables, VLOOKUP,...management environments. + Strong ability to analyze and troubleshoot claim issues using available tools and data. Pay Range:… more
- CVS Health (Petersburg, VA)
- …including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and… more
- The County of Los Angeles (Los Angeles, CA)
- …to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- North Carolina Central University (Durham, NC)
- …Type** Permanent - Full Time **Tenure Track** No **FTE** 1 = 40 hours /week, 12 months **If time limited, duration date** **Department Hiring Range** **EEO-1 ... provide expert testimony in such cases involving design or construction claim mediation, arbitration, and/or litigation. Ability to review and evaluate contractual… more
- CVS Health (Austin, TX)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more