- Amazon (Arlington, VA)
- Description Join Amazon Healthcare Finance Operations Services as a Revenue Cycle Manager focused on transforming healthcare financial operations . In this role, ... be responsible for designing and implementing innovative programs to improve clean claim rates, reduce denials and improve overall collections. Working closely with… more
- UNUM (Portland, ME)
- …reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple ... Application of medical knowledge through assessment and synthesis of claim file information and ability to offer balanced conclusions...Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA -… more
- The County of Los Angeles (Los Angeles, CA)
- REGIONAL OPERATIONS MANAGER, PARKS AND RECREATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5079630) Apply REGIONAL OPERATIONS ... Recreation and support the overall management of regional park operations , including grounds maintenance, recreation programs, golf course ...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Bluestone Physician Services (Stillwater, MN)
- …Salary will be commensurate with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for payment + Review and ... communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …state guidelines, and policies. + Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments + Provide coding ... of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of… more
- UNC Health Care (Chapel Hill, NC)
- …Integrity Analyst is responsible for researching and resolving complex carrier/payor claim edits, including but not limited to Correct Coding Initiative (CCI), ... coding denials. Works with departments on charging and coding issues. Possess claims coding, reimbursement, and billing skills to review and analyze charges and… more
- Towne Park (Kansas City, MO)
- …initiatives and Towne Park cultural perspectives are incorporated within the area's operations . The Senior Account Manager is responsible for escalating issues to ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Sedgwick (Bartlesville, OK)
- …people through important life events + Gain valuable experience in insurance operations and customer service + Work in a supportive, team-oriented environment with ... a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you'll be...multiple communication channels about documentation required to process a claim , required time frames, payment information, and claim… more
- Otsuka America Pharmaceutical Inc. (Concord, NH)
- The Director, Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing ... pre-market products. In addition, this role directs all contract operations including being responsible for Gross to Net (GTN)...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walmart (Aransas Pass, TX)
- …training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures ... and other alleged illegal activities conducting investigations relating to the operations and policies of the company obtaining evidence taking statements writing… more