- CVS Health (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
- CVS Health (Charleston, WV)
- …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
- CVS Health (TX)
- …including co-morbid and multiple diagnosis the impact functionality.** **-Reviews prior claims to address potential impact on current case management and ... cases at case conferences for multidisciplinary focus to benefit overall claim management.** **-Utilizes case management processes in compliance with regulatory and… more
- New York State Civil Service (New York, NY)
- …Type Contingent Permanent Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 5 PM Flextime ... attorneys and contact employers about potential resolution of callers' claims /complaints.* Assist in identifying inquiries/complaints received by the bureau in… more
- UNC Health Care (Smithfield, NC)
- …all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Maritime Administration (Washington, DC)
- …changes, and claims ; negotiates and prepares contract changes, modifications, and claim settlements. The ideal candidate will have experience in the full range ... degree with a major in any field; OR B. At least 24 semester hours in any combination of the following fields: accounting, business, finance, law, contracts,… more
- Allied Universal (Irvine, CA)
- …for all insurance carriers and third-party administrators for employee eligibility, claim and plan coverage inquiries, providing accurate and timely responses. ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- US Tech Solutions (Mount Pleasant, SC)
- …system to the new platform. + MUST be okay with working in front of computer for 8 hours per day + MUST be flexible with working at any of the below work sites as ... for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. + Research and analyze… more
- State of Colorado (CO)
- …CIs are expected (A) to maintain a neutral third party role in investigating claims , assuring all parties a fair opportunity to be heard, (B) to produce decisions ... efficiently, to meet the Division's claim closure requirements and assure that parties to disputes...each was full-time, or if not, the number of hours in each. You can include unpaid work (internships,… more
- TEKsystems (Edina, MN)
- …aspects of billing and insurance processing, including: + Preparing and submitting claims for medical procedures and services to insurance companies + Performing ... collecting payments + Handling insurance denials and advocating for claim approvals + Ensuring compliance with coding standards and...everyone knows each other and their patients + Flexible hours within office schedule (7 AM - 5 PM);… more
Recent Jobs
-
Aircraft Mechanic III, MQ-9 (Cherry Point, NC)
- Amentum (Cherry Point, NC)
-
Community Health Worker
- Northern Light Health (Bangor, ME)
-
Tool & Fixture Designer
- Tri-Mack Plastics (Bristol, RI)