- 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 ... clinical and legal review. - Documents all appropriate case activity in tracking system . - Makes referrals and deconflictions, both internal and external, in the… more
- The Boeing Company (Ridley Park, PA)
- …& Security** **(BDS)** is looking for a **Senior (Level 4 or Level 5) System Safety Engineer** to join our team onsite in **Ridley Park, PA** **Primary ... processes and initiatives. + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires and provides specific… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator , you will be researching shortage claims based on calls received from our customer locations. These ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- Mount Sinai Health System (New York, NY)
- …and EHR systems effectively. . Organize routine meetings with health system business leaders and managed care teams to review authorization performance, payer ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Mount Sinai is one of the largest US health systems with a strong reputation for quality of care...Facility and Ancillary Contracts across the Mount Sinai Health System . MSHP seeks a Senior Contract Compliance (Professional Billing)… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... pharmacist. Documents all patient encounters as appropriate in health system documentation system . 2. Data analysis: such.... 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... (Hybrid)** The Director of EPIC Workflow Optimization for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which… more
- Mount Sinai Health System (New York, NY)
- …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Mount Sinai Health System (New York, NY)
- …balance report to ensure adherence to government regulations/guidelines. 13. Analyzes claims system reports to ensure underpayments are correctly identified ... claims , with experience in EPIC & IDX billing systems in a health care or insurance environment preferred...System is one of the largest academic medical systems in the New York metro area, with more… more