- Sharp HealthCare (San Diego, CA)
- …reviewed in order to perform timely follow-up collections and claim form submissions.Demonstrates effective customer relations by:Consistently communicate with ... departmental goals.Assist in analyzing and interpreting trends and variances requiring Manager Business Service and/or Manager of Quality control's attention.… more
- Medtronic (Mounds View, MN)
- …design and execute RWE (Real World Evidence) studies using administrative health care claims data, electronic health record data and other data sources to fulfill ... marketing decisions and product reimbursement strategies, using administrative health care claims data, electronic health record data and other real-world data… more
- Indy Gov (Indianapolis, IN)
- …basis. Incumbent must have a valid driver's license. Position reports to the Manager Grants. Agency Summary The purpose and mission of the Department of Metropolitan ... system, integrated disbursement, and information system (IDIS) * Authorizes claims /expenditures and documentation prior to payment. Analyzes supporting justification… more
- Elevance Health (San Antonio, TX)
- …offices, third party representatives, and other Blue Cross Plans) to provide claims , customer service, and/or membership support. + Responds to client issues via ... written correspondence regarding insurance benefits member, provider contracts, eligibility, claims , etc. + Completes necessary research to provide proactive,… more
- Lowe's (Pottsville, PA)
- …supervises a high performing team responsible for tasks such as resolving stores claims , handling accounts payables and vendor buybacks. **What You Will Do** + ... pay, benefits, job changes, voluntary terminations, I-9 verification, unemployment claims , and workplace accommodations + Communicates clear expectations for… more
- Elevance Health (Seattle, WA)
- …Primary duties may include, but are not limited to: + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Henry Ford Health System (Troy, MI)
- …education. + Provides administrative support to the Appeal and Grievance Manager and the Appeal and Grievance Analyst. Maintains professionalism and confidentiality ... 2 years' experience reviewing and processing the intake of appeals, grievances, and claims inquiries. + Mail screening required for all lines of business with… more
- Duke Energy (Charlotte, NC)
- …PPCS position may lead assigned PC teams in absence of the Supervisor or Manager of Project Controls. PPCSs support multiple management and project teams of varying ... regarding pricing and scope changes. 6. Change Management and Claims Support + Assess the cost impact of project...Support + Assess the cost impact of project changes, claims , and variations. + Prepare and evaluate cost estimates… more
- LG Energy Solution (Holland, MI)
- …Nurse, Specialist (Part Time or Full Time) Reports to: Health & Safety Manager Location: Holland, MI LG Energy Solution Michigan Inc. (LGESMI) develops and ... such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and procedures… more
- New York State Civil Service (New York, NY)
- …10007 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
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