- CVS Health (Annapolis, MD)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... in health care fraud, waste, and abuse investigations and audits. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
- New York State Civil Service (Liverpool, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 9 AM To...13088 Duties Description Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all… more
- Mount Sinai Health System (New York, NY)
- …proficiency in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + HS/GED; Associates Degree is preferred + ... **1-2 years of experience in medical billing or health claims , with experience in billing systems in a health...+ May be responsible to prepare and verify office hours schedules. + May be responsible for collection of… more
- J&J Family of Companies (Raritan, NJ)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management. This role will ... development, pre- and post-approval clinical studies, regulatory approval/clearance, downstream claims , safety assessments, and product launch and training for key… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a...+ May be responsible to prepare and verify office hours schedules. + May be responsible for collection of… more
- Munich Airport NJ LLC (Newark, NJ)
- …the building, from curbside to for check-in, security, gate holdrooms and baggage claim . The retail and food and beverage features local, national and international ... will maintain fire protection systems and be the first investigator for all fire alarms as well as the...Maintenance department operating at Newark Airport Terminal A twenty-four hours a day, seven days a week, and will… more
- MyFlorida (Fort Lauderdale, FL)
- …Field Office Open Competitive Opportunity* Your Specific Responsibilities: The investigator conducts priority and routine investigations, audits and inspections ... violation of Florida Statutes and rules governed by the Agency. The investigator must provide investigative results through the collection of evidence and… more
- State of Indiana (Indianapolis, IN)
- …chance drawings in accordance to procedure; * Investigates and validates winning claims over $10,000, including personal interview of claimant; * Assists with mail ... runs and mail-in claims processing; * Safeguards and loads validation files for...instant ticket games; * Monitors stolen ticket hotline 24 hours a day, including weekends, on a rotating basis,… more
- Corewell Health (Grand Rapids, MI)
- …range of investigations and audits related to FWA, including medical and pharmacy claims , as well as concerns involving members, agents, and employer groups. Ensure ... + Cross-departmental collaboration: Partner with internal departments such as compliance. legal, claims , provider and others as needed to support enterprise wide FWA… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …attend, CME activities and VA continuing educational activities Initiate investigator -initiated studies after obtaining appropriate approval from local/central IRB, ... drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours ); reaching above shoulder; use of fingers and both...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
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