- The County of Los Angeles (Los Angeles, CA)
- …operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. + ... Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance sheets,… more
- Geisinger (Wilkes-Barre, PA)
- …and litigation strategy, expert selection, and provide guidance on internal claims review procedures. + Support management of financially significant and complex ... claims and litigation through resolution. + Collaborate to set...Evaluate, analyze, and synthesize various clinical, financial, and operational claim data to develop assessments and recommendations. + Assist… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… more
- City of New York (New York, NY)
- …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
- City and County of San Francisco (San Francisco, CA)
- …to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory to ensure the team is prioritizing ... the collecting, editing, transmission and controls over data required for electronic claim submission. Works closely with IT and Vendors to ensure proper system… more
- Sedgwick (Concord, NH)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- SSM Health (Madison, WI)
- …denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts. + ... or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple functional areas. **Job… more
- BrightSpring Health Services (Union City, CA)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- Robert Half Legal (Pennington, NJ)
- …particularly in healthcare litigation, and a proven ability to manage claims and collaborate effectively within legal and billing teams. Responsibilities: * ... Investigate and manage cases involving unpaid or denied claims from auto insurance carriers. * Represent the organization...internal teams, including legal and billing, to address complex claim issues. * Conduct detailed reviews and analyses of… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. Responsibilities: + Demonstrates proven abilities… more