- University of Michigan (Ann Arbor, MI)
- …Center Assignment Table (CCAT) and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager , Revenue Guardian, etc.) + Fee Schedules + Maintain and ... and ad hoc reports as assigned. **Required Qualifications + Associate 's degree in Business Administration, Health Administration, Health Information Management,… more
- Penn Medicine (East Petersburg, PA)
- …or additional information if necessary, to expedite the resolution of the denied claim . + Performs all appeals and denial recovery procedures needed to appropriately ... and accurately resolve denied claims . + Processes required adjustments to accounts, including charges...for enhancing performance and productivity when appropriate. + Keeps Supervisor/ Manager informed of any problems or issues. + Provides… more
- Compass Group, North America (Bakersfield, CA)
- …**Job Summary** The **Safety Coordinator** will be responsible for reducing claims and lost time injuries by providing safety and workers compensation ... have no direct reports and will report directly to the Safety Manager . **Essential Duties and Responsibilities:** + Use background knowledge in accident prevention… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. **What You Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst-EDI Mgmt will use technical and analytic ... Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt… more
- Highmark Health (Harrisburg, PA)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- US Tech Solutions (Chesapeake, VA)
- …enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, planning, ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- LA Care Health Plan (Los Angeles, CA)
- …clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating ... or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document… more
- Zurich NA (Queens County, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... the Middle Markets Underwriter or Underwriting Specialist. The hiring manager will determine the appropriate level based upon the...and 2 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of… more
- UMB Bank (Kansas City, MO)
- …various UMB clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate risks for our customers and for ... Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy that all focus on what's...Associates are supported and encouraged to work with their manager to develop roadmaps for opportunity within Fraud Operations… more
- AnMed Health (Anderson, SC)
- …laws. Benefit Specialist will also work in partnership with Total Rewards Manager in administration of the hospital benefits program to ensure effective employee ... communications, timely enrollments, ACA compliance, and efficient claims processing. RESPONSIBILITIES * Manages the Americans with Disability Act (ADA) processes for… more