- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** The Director of Configuration and Operations of the claim adjudication systems. drives configuration ... strategy and execution, ensuring accurate setup of claims adjudication, products, benefits, payment processes and automation of business processes. Leads… more
- VetsEZ (FL)
- …care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By ... we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that delivers… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... public related to managed care rules, regulations, compliance, and coordination of operations . Levels of Performance Select the Level of Performance that best… more
- Commonwealth of Pennsylvania (PA)
- …to play a vital role leading a team that is dedicated to safe plant operations and the comfort of residents, staff, and visitors at our long-term care facility, then ... the shift and carry out responsibility for utility plant operations including the regulation of feed water pumps, forced...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …technical support of Mobile Command Posts, Fixed Command Posts, and Joint Operations Centers. You will independently install and configure all software and hardware ... In addition, you will provide technical assistance to contractors, assist with operations procedures and planning, and review MCP technical manuals and publications.… more
- Firefly Health (Watertown, MA)
- …internal team and answers, and also investigating and resolving billing and claims inquiries all within established service level agreements (SLAs). This role ... plan designs to a member and digging into technical claims adjudication issues with providers. You will: Member &...inquiries from members and providers within SLA. + Research claim details in internal and TPA systems to address… more
- Hormel Foods (Eldridge, IA)
- …maintain productivity data using **AS400** and **HDS** systems. **Human Resources Operations ** + Coordinate the hiring, onboarding, and termination of employees. + ... + Maintain accurate and up-to-date personnel files for all temporary employees. ** Claims Management** + Investigate customer and operational claims using… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …in the education of internal businesspartners of the importance of early claim reporting, early return to workprograms and other appropriate cost containment ... ofvendor performance standards and adherence to contractual requirements. Ensurethat claims handling is conducted in compliance with applicable stateregulations,… more
- TEKsystems (Troy, MI)
- Please see details for the opening: Job Title: Customer Claims Specialist Category: Mortgage, Insurance Pay Range: 17$/hour Location: Office - 700 Tower Drive, Troy, ... 1-2 years of call center experience, preferably in escalations, claims , or insurance + Strong resilience and ability to...+ Navigate multiple systems to research and provide accurate claim information + Serve as a liaison between homeowners,… more