- Trinity Health (Livonia, MI)
- …and MS-DRG, APR DRG assignments to potentially decrease denials. Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- The Cigna Group (West Palm Beach, FL)
- …provide exemplary customer and client service of our Cigna products, benefits, and claim processes. As the Dedicated Client Service Partner, you can take your career ... delivery team and/or the employees. Including but not limited to complex claims , authorizations, denials, appeals, incentive issues, etc. + You will provide… more
- Walmart (Opelika, AL)
- …assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of ... claims Asset Protection Security Possesses knowledge of Asset protection...Lean Six Sigma) within Supply Chain or manufacturing environments. ** Preferred Qualifications ** _Outlined below are the optional … more
- The County of Los Angeles (Los Angeles, CA)
- …certificate(s) which shows the area of specialization at the time of filing ( preferred ). If you are unable to attach required/supporting documents at the time of ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- Elevance Health (Cincinnati, OH)
- …Provider selection logic; Provider setup configuration and roster loading/automation, claims system knowledge; external claim (EX) reviews/fixes; provider data ... of education and experience, which would provide an equivalent background. ** Preferred Skills, Capabilities, and Experiences:** + Prefer the following system… more
- Elevance Health (Roanoke, VA)
- …role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and ... an equivalent background. Travels to worksite and other locations as necessary. ** Preferred Skills, Capabilities and Experiences** : + Preferred experience… more
- AIG (New York, NY)
- …will be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. How you will create an ... models for various business functions such as pricing or claim monitoring + Work closely with underwriting business partners...Statistics, or related area + Minimum ACAS credential, FCAS preferred + 7 years or more experience, Cyber and/or… more
- HCA Healthcare (Brentwood, TN)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. What… more
- HUB International (Cincinnati, OH)
- …HUB associates (including producers, a support team of Client Specialists, and claims & administrative professionals) with a focus on excellent customer service and ... new business, renewal, and endorsement invoicing + Assist with claim reporting and follow up as needed + Support...CISR, MLIS, CRIS, CIC, ARM, CRM, and CPCU are preferred + College degree preferred . High school… more
- American Water (New Castle, PA)
- …federal state and local regulations. * Provide assistance and expertise in accident/ claim investigation and claims management, when required, and make ... of Utility operations (ie, water, electric, gas/ regulated utility) Standards and Practices preferred * Experience using TapRooT software and/or SAP is a plus _… more