- Steele County (Owatonna, MN)
- …office: o Determines information needed for invoice preparation of health care claims to multiple billing sources, coordinates with professional staff to obtain ... o Invoices private pay billings for home care services. o Monitors claims and researches billing related problems through coordination with professional staff, third… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …advising on FDA laws and regulations, anti-kickback and bribery statutes, false claims acts, transparency laws and other relevant laws and regulations governing the ... + Advising on FDA laws and regulations, anti-kickback and bribery statutes, false claims acts, transparency laws (federal and state on TOV, and state pricing… more
- MyFlorida (Tampa, FL)
- …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or...or secondary ticket sales redemption. + Validates and processes claims and pays prizes. + Performs daily and weekly… more
- YAI (Manhattan, NY)
- …for YAI in New York, New Jersey and California. + Oversees the day-to-day operations of the revenue cycle, ensuring adherence to policies and procedures. + Ensures ... in the billing systems (eg Digital Agency [DA] and NextGen). + Ensures claims are submitted within required deadlines and that payments are received and posted… more
- Centene Corporation (New York, NY)
- …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations . + Apply Coding Guidelines as described in ... to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review,...adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports… more
- MTA (Brooklyn, NY)
- …or supervisory capacity. DESIRED SKILLS: + Managing Workers' Compensation operations (excluding FELA) and benefits administration. + Leading internal investigations ... related to questionable or fraudulent claims . + Overseeing the TPA and monitoring service level...to the CAO on issues related to policy compliance, claims litigation, audits, and availability-related initiatives. + Liaising with… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- Hatch (Pittsburgh, PA)
- …With expertise insustainable (https://bit.ly/32fZGnV) studies, asset building and operations , and industry-leading efficiencies, our best-in-class team leverages ... to monitor and evaluate contractor progress, performance, schedule delays, and claims . + Review and construction management of TBM and drill-and-blast tunneling… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...managing complex portfolios + Technical knowledge of insurance industry operations and processes + Knowledge in risk selection and… more