- Commonwealth of Pennsylvania (PA)
- …Code 00110240 Bureau / Division Department of Corrections, Bureau of Operations Worksite Address 1920 Technology Parkway City Mechanicsburg, Pennsylvania Zip Code ... 3. In this leadership position within the Bureau of Operations , you will play a crucial role in overseeing...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… 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
- Travelers Insurance Company (Hartford, CT)
- …from appropriate resources. + Reporting and oversight of real estate investment property claims as well as monitoring or involvement on corporate casualty claims ... Legal and local property managers as needed. May involve claims for other lines of coverage as needed. +...(ie, is executed policy what we agreed to). + Claim tendering, related administration, and negotiation. + Perform other… 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
- MAPFRE Insurance (Webster, MA)
- … and policy data. With the graph analytics, the relationship among the claim , the insured, their policy, previous fraudulent claims , are detected. Later, ... is also done in AWS using a Machine Learning Operations module. Once the models are deployed, these are...Claims team finally makes the decision about the claim . 2. A Policy Life Expectancy model, which predicts… more
- 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 ( $ 25.10 -...health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing… 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
- CDM Smith (Raleigh, NC)
- …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
- Premera Blue Cross (Mountlake Terrace, WA)
- …CSS, CPMA) or equivalent. **Preferred Qualifications** + Knowledge of health plan operations and claim adjudication processes. + Experience with facility, ... Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding… 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