- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... efficiency, and regulatory adherence in all mental health billing operations . Medical Billing Specialist III ( $ 25.99 -...health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing… more
- CDM Smith (Lakewood, CO)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Saint Francis Health System (Tulsa, OK)
- …remittance processing using Epic Resolute Hospital Billing/Professional Billing (HB/PB) and associated claims tools (eg, Claim Edit Work Queues (WQs), Remittance ... all aspects of patient financial services including professional and hospital claims billing, cash posting, and management of patient receivables. This role… more
- CareFirst (Baltimore, MD)
- …with areas such as Medical Policy, Legal and Legislative Affairs, Claims Processing Areas, Customer Service Operations , Provider Representatives, Credentialing, ... CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds....findings about the ability to pay or deny a claim or claim lines using clinical and/or… more
- Waystar (Atlanta, GA)
- …The goal of the position is to ensure implementation clients exceed clean claim targets and report high satisfaction with Waystar edit processes and content. This ... a comprehensive payer edit library. The Consultant will partner with Client Operations , Client Success and Product to identify product enhancements that will improve… more
- USAA (San Antonio, TX)
- …of liability, setting and managing services throughout life of the claim while providing excellent service. Within defined guidelines and framework, you ... are responsible to adjust moderately complex auto insurance claims presented by or against our members to include.... + Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential… more
- USAA (Chesapeake, VA)
- …to facilitate timely claims resolution. + Supports workload surges and/or Catastrophe Operations as needed. + May act as an informal resource for team members ... responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating,… more
- Festival Foods (WI)
- …to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports' ... Truck trainers roles and responsibilities + Workplace Safety and Claims Management Strategy:Leads strategy and resource allocation of a...all areas of support store involvement. HR, Fresh, and Operations + Sign on behalf and as agent of… more
- The City-County of Butte-Silver Bow (Butte, MT)
- …exposures related to liability, property loss, workers' compensation, and insurance claims ; designs and administers programs and procedures to minimize loss, control ... hazards, and reduce legal and financial exposure. Conducts investigations, coordinates claims and insurance activities, ensures compliance with applicable laws and… more