- Independent Health (Buffalo, NY)
- …The Billing Specialist assists with the various activities of the pharmacy operations not requiring the professional judgment of the pharmacist. The Billing ... primarily responsible for completing the billing of both pharmacy and medical claims and adjudicating rejections. **Signing Bonus:** This position will be granted a… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- Publix (Lakeland, FL)
- …in the business and directly influence how we manage risk across our retail operations in eight states. This is a corporate counsel role, ideal for someone who ... wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for… more
- Interior, Bureau of Indian Affairs (Anadarko, OK)
- …with cross-frequency patching, and phone patching. Coordinates, monitors, and assists with operations via telephone and radio between a variety of agencies and ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- Interior, Bureau of Indian Affairs (Keams Canyon, AZ)
- …but not limited to: Enforce standard rules and regulations governing the operations of the detention facilities and programs, confinement, safety, health, and ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- MyFlorida (Daytona Beach, FL)
- …and education must be verifiable. Please attach any credentials you claim (degree, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: + Willingness ... record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being received.… more
- MVP Health Care (Rochester, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** ... rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity + Continuously monitor the statuses… more
- USAA (San Antonio, TX)
- …companies (auto, property, life) and class actions. + Experience analyzing insurance claims handling practices and claim files for personal lines insurance ... products. + Excellent proficiency with rules of civil procedure and evidence, e-discovery processes, and institutional document production and retention issues. + US military experience with skills related to one of the following MOS's: Navy (JAG Corp… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …Standards; quality assurance assessments; and risk management and malpractice claim action evaluations. Determines appropriate actions, including those resulting ... committee minutes, privileging requests and/or actions, malpractice payments, tort claims and adverse actions, Focused Professional Practice Evaluation (FPPE) and… more
- HCA Healthcare (Nashville, TN)
- …solutions necessary to support the Dispute Resolution process and Parallon operations , including the development of tools to effectively measure performance. What ... Dispute Resolution Inventory + Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting + Manually validates expected… more
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