- Molina Healthcare (GA)
- …and Claims Configuration in a managed care environment; system operations , workflow processes and internal controls; NCQA provider data requirements. + ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Commonwealth of Pennsylvania (PA)
- …to county highway maintenance crews and foremen as part of our Operations team. Your primary responsibility will be to manage various maintenance activities ... assist the County Maintenance Manager and oversee all maintenance operations within a designated area of the County Maintenance...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Allied Universal (St. Louis, MO)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... and eligibility. As a **Security Professional - Government Patrol Operations ** in **Saint Louis, MO** , you will serve...As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up… more
- Commonwealth of Pennsylvania (PA)
- …excel at directing heating/utility plant and/or building maintenance, construction, and repair operations ? If you have the required experience, find a home for your ... Your duties will involve planning, assigning, directing, and coordinating daily operations . This includes determining staffing needs and priorities based on facility… 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
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleFacilities Operations Coordinator Position LocationFort Collins, CO Work LocationPosition is fully in-office/in-person ... Acknowledgment and video please visithttps://landacknowledgment.colostate.edu/ Position Summary The Facilities Operations Coordinator provides assistance to the facilities operations… more
- Zelis (St. Petersburg, FL)
- …on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify billing accuracy ... performance to ensure savings are maximized and captured timely through proper claim handling. Effective and proven leadership experience is a must as… more
- Mount Sinai Health System (New York, NY)
- …team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. The Managed Care Contracting Team ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- UNC Health Care (Chapel Hill, NC)
- …account issues. + May maintain data tables for systems that support PB Claims operations . + Evaluate carrier and departmental information and determines data ... follow up for no response from payors, and/or claim denials. + Works physician claims ("professional...System, in a department that provides shared services to operations across UNC Health Care; except that, if you… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations ** Directs financial planning and accounting practices including budgeting, costing, financial ... **Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable… more
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