- CVS Health (St. Paul, MN)
- …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 (Melville, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) - NYHELPS Occupational Category Other Professional Careers ... Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.50 Workday From 8 AM To 5 PM Flextime… more
- New York State Civil Service (Buffalo, NY)
- …Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 60% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 4:30 PM Flextime ... of relevant information technology, including but not limited to the Investigator Mobile Application, IC2, CIS, and Insurance Compliance Investigation Maintenance;… more
- Fallon Health (Worcester, MA)
- …initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days and ... and Grievances Department and Provider Appeals Department with 20 hours dedicated to each department per week. + Act...each department per week. + Act as the initial investigator and contact person for grievances and appeals, which… more
- Travelers Insurance Company (Hartford, CT)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The hourly salary range provided for this position is a ... receiving valuable on-the-job training, and learns about the Fire Investigator professions available at Travelers. Interns receive challenging work assignments… more
- MyFlorida (Tallahassee, FL)
- …This is a full-time career service position, with regularly scheduled hours of Monday-Friday 8:00 am to 5:00 pm This Medical Health ... engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of...employer contributions * Ability to earn up to 104 hours of paid annual leave as a new employee… more
- Aramco Services Company (Houston, TX)
- …assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of moderate to high ... include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages cases with the upmost… 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
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years? experience in medical billing or health claims , with experience in Epic billing systems in a...+ May be responsible to prepare and verify office hours schedules. + May approve EPIC work queue for… more
- Mount Sinai Health System (New York, NY)
- …in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School diploma/GED ... + 2 years experience in medical billing or health claims with IDX billing systems in a health care...+ May be responsible to prepare and verify office hours schedules. + May be responsible for collection of… more