- Insight Global (Eden Prairie, MN)
- Job Description An employer is looking for a highly-skilled remote claims focused Capability Manager to join one of our largest national healthcare clients for a ... of 6 and be the liaison between scrum and claims team to ensure business processes are being pushed...Claim Processing for State partner requests o Demonstrate system capabilities to State partners o Socialize complex … more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **What to Expect** The HR Case Manager is responsible for the investigation and administration of SLHS basic to intermediate leave ... of absence (LOA) claims . This role assists employees through the statutory and...Communicates benefits and/or decisions within established timeframes. + Maintains claim files and updates with information from employer, employee… more
- Commonwealth of Pennsylvania (PA)
- Liquor Store Assistant Manager 1 - Moon Plaza, University Boulevard, Coraopolis Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5156521) Apply ... Liquor Store Assistant Manager 1 - Moon Plaza, University Boulevard, Coraopolis Salary...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Walmart (Bentonville, AR)
- …and facilitating corrective action. + Analyze data from the TPRA vendor and the claims system to surface key insights and partner with the TPRA vendor, ... behalf of Walmart, Sam's Club, and Supply Chain. The Manager , Medicare Compliance Oversight, is responsible for supporting and... claims teams, and systems teams to implement… more
- Martin's Point Health Care (Portland, ME)
- …identifying incorrect claims , and leading recovery efforts while improving system controls and operational efficiency. The manager partners closely with ... to identify trends, root causes, and process improvement opportunities related to claim inaccuracies. + Partner with Claims , Provider Relations, Finance,… more
- Mount Sinai Health System (New York, NY)
- …the forefront of implementing Facility and Ancillary Contracts across the Mount Sinai Health System . MSHP seeks a **Senior Contract Manager Analyst** will play a ... Revenue Cycle team to integrate contract terms into billing, claims , and payment systems . + Provide support...System is one of the largest academic medical systems in the New York metro area, with more… more
- Family Dollar (Chesapeake, VA)
- …Oversee and strategically manage Third-Party Administrator (TPA) handled workers' compensation claims , driving initiatives to significantly reduce claim costs ... Responsible for optimizing the end-to-end workers' compensation claims process, leveraging our Third-Party Administrator (TPA) partnership to accelerate resolution… more
- Henry Ford Health System (Detroit, MI)
- Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This full-time role plays a key part in ensuring strong financial stewardship of ... pharmaceutical across Henry Ford Health Clinical Delivery System . GENERAL SUMMARY: Location: Detroit, MI - Elijah McCoy Campus, Centralized Pharmacy Service Center… more
- University of Southern California (Alhambra, CA)
- …AIDX/GE and other systems Demonstrates knowledge in various payor websites. System Folder Notes / Account Documentation Documents claim bill date, billed ... claim . Analyzes the pre-printed information on the claim form(s) or billing system to ensure...reports for additional documentation to be attached to hardcopy claim forms. Transmits claims via electronic vendor,… more
- SERV Behavioral Health System (Hamilton, NJ)
- …for behavioral health services. + Responsible for both Medicaid FFS (NJMAPPS) and claims submission through the current EHR system . + Reviews and resubmits ... range of services. JOB SUMMARY: Reporting to the Billing Manager , the Senior Accounts Receivable Specialist will be responsible...within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals. +… more