- CVS Health (Austin, TX)
- …United States. In this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing clinical expertise and business direction in ... areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to… more
- Allied Universal (Norfolk, VA)
- …the communities and customers we serve. As a **Security Officer - Government Patrol Operations ** in **Norfolk, VA** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As an...Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**… more
- TEKsystems (Sterling, VA)
- …The Entry-Level Medical Collector supports by following up on aged hospital claims , resolving denials, and contacting insurance payers or patients to determine next ... steps. Once trained, you'll manage 20-30 claims per day, working across multiple systems to ensure...write-off) + Work closely with billers to communicate required claim actions + Meet or exceed monthly production and… more
- Synergy Healthcare Solutions (Dunwoody, GA)
- …team, facilities, and insurance carriers. **Key Responsibilities** + Set up new workers' compensation claims and maintain claim records. + Submit claims and ... our growing team and help ensure our insurance and risk management operations run smoothly every day. The **Insurance Administrative Assistant** provides essential… more
- nVent (St. Louis County, MN)
- …third-party administrator (TPA) to ensure accurate reporting, coding, and escalation of claims ; track claim progress and maintain compliance documentation. + ... for the global procurement of insurance and Fleet Management, provides claim support and oversight, leads risk transfer, manage fleet vendor relationship,… more
- TEKsystems (Louisville, KY)
- …Louisville, KY About the Role Join our team as an Medical Collector and Claims Specialist, where you'll play a key role in ensuring accurate and timely processing ... of insurance claims . This position is perfect for detail-oriented professionals who...to various payers. + Error Resolution: Research and correct claim errors, then resubmit promptly. + Accounts Receivable Management:… more
- PRGX (Bentonville, AR)
- …the client's business operations . + Finds, supports, and documents audit and claims operations . + Produces claims using appropriate audit concepts for ... , updating claims management system, and billing claims to client. + Provides vendors with claim... claims to client. + Provides vendors with claim back-up information. May contact vendors for pre-approvals. +… more
- Henry Ford Health System (Detroit, MI)
- …the direction of the Department Director or Manager, coordinates and facilitates operations in key department areas related to patient access for infusion ... patients' medication access by managing infusion and injection benefit claims , ensuring financial viability, and addressing affordability concerns throughout the… more
- LA Care Health Plan (Los Angeles, CA)
- …or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- UIC Government Services and the Bowhead Family of Companies (Fort Eustis, VA)
- **Overview** SR. OPERATIONS SPECIALIST (TRADOC): Bowhead seeks a Sr. Operations Specialist to support operations to the US Army Training and Doctrine Command ... (TRADOC) Surgeon's Office located in Fort Eustis, VA. The Sr. Operations Specialist willprovide program management, data analysis and coordination and oversight of… more