- J&J Family of Companies (Phoenix, AZ)
- …(ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules ... monitoring. + Educate staff on payer requirements, coding, billing, claim submission, and acquisition. + Share TC insights with...minimum of a bachelor's degree + A valid driver's license issued in one (1) of the fifty (50)… more
- CVS Health (Austin, 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
- Sunrise Senior Living (Richmond, VA)
- …in a timely manner. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. **Quality Assurance, Safety and ... Federal, State/Province, and Local regulations and Sunrise policy. + Conduct license verifications and other required verifications per Federal, State/Province, and… more
- Interior, Bureau of Indian Affairs (Everett, WA)
- …MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable, ... (credit hours) were taken on a pass/fail basis, your claim of superior academic achievement must be based upon...in the performance of duties; therefore, a valid driver's license is required and be able to meet the… more
- Covenant Health Inc. (Knoxville, TN)
- …Registration and Business Office personnel to resolve issues related to claims , coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster ... in response to regulatory changes and identified areas of deficiency. + Monitors claim rejections and systematically assesses specific types of denial as it relates… more
- SSM Health (MO)
- …Cycle processes, including patient inquiries, insurance handling, payment collection, and claim resolution. + **Teach Technical Skills** : Provide instruction on ... on outstanding balances, effective and efficient resolution of denied and outstanding claims and applying payment and denial information to patient accounts. +… more
- Library of Congress (Washington, DC)
- …records documents relating to copyright chain of title; administers statutory license provisions of the law, including collecting and distributing royalties; ... 17 of the US Code, including matters related to registration and recordation of claims but also emerging technological issues such as those involved in 17 USC 1201,… more
- City of New York (New York, NY)
- …to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of Transportation ... Than Personnel Services (OTPS) expenses related to the reimbursement claims incurred in the DOTs expense budget. - Become...2. A valid New York State Certified Public Accountant license . To be eligible for placement in Assignment Level… more
- CVS Health (New Albany, OH)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance...+ Must have an active current and unrestricted RN license in state of residence. With the willingness and… more
- UNUM (Chattanooga, TN)
- …reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple ... Responsibilities** + Application of medical knowledge through assessment and synthesis of claim file information and ability to offer balanced conclusions + Ability… more