- United Site Services (Colorado Springs, CO)
- …for all safety issues in the field + Work directly with branch management, claims adjusters, injury counselors, etc. to ensure complete claims management for ... as safety rules, operating and maintenance instructions, and procedure manuals + Claims Management Experience a plus + Ability to perform simple arithmetic using… more
- CVS Health (CT)
- …role combines deep technical expertise with domain knowledge in healthcare-particularly on ** claims and eligibility data** , though experience on the provider side ... You will work at the intersection of **data science, healthcare operations , and research** , leveraging cutting-edge methodologies to solve complex business… more
- J&J Family of Companies (New Brunswick, NJ)
- …real-world data resources, including electronic medical records, administrative healthcare claims databases, hospital billing data, or registries and clinical coding ... + In-depth knowledge of the structure and caveats of electronic medical records, claims , and/or hospital billing databases + At least 5 years of hands-on experience… more
- US Marine Corps (Jacksonville, NC)
- …and oversight of NAF procurement and contracting processes in support of MCCS operations in the Region. Oversees actions and phases of the procurement process for ... contract delays, contractor performance appraisals, subcontractor surveillance, disposition of claims , and other contractual related matters. Reviews and analyzes… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple ... Medicare, Medicaid and commercial payors, and applicable department's revenue cycle operations . + Ensures protection of private health and personal information.… more
- The County of Los Angeles (Los Angeles, CA)
- …network systems and coordinates with ITS regarding possible changes to improve operations and efficiency. + Assist in providing end user hardware and software ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- University of Michigan (Ann Arbor, MI)
- …inquiries. + Obtain post-service authorizations and assist with appeals for denied claims . + Attend Revenue Cycle Forum meetings and communicate updates to ... + Ensure CMDS Clinic and provider NPIs are correctly added in CHAMPS for claims processing. + Work with hospital billers to address denied or duplicate claims… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work ... data analysis, publication support and collection of data for supporting platform claims . + Contribute to the development and execution of product and/or procedural… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …organization. + Recommends and administers policies and procedures to enhance business operations and sales analytics. + Demonstrated deep understanding of IDN, MHC, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
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