- HUB International (Chicago, IL)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... by federal, state, and local law. If this position requires licensing or certification , the incumbent must maintain that license or certification by meeting… more
- Air National Guard Units (Salt Lake City, UT)
- …adhered to by all functional areas. Reviews, analyzes, and validates certification and accreditation (C&A) packages. Ensures computer software designs address ... system security requirements. Accomplishes risk analysis, security testing, and certification due to modifications or changes to computer systems. Evaluates,… more
- CVS Health (AZ)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more
- Sedgwick (Chicago, IL)
- …with internal workflow processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification , payment calculations, payments and/or ... Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative ** **Our teams thrive together!** We collaborate in person and embrace a… more
- AECOM (Arlington, VA)
- …construction program for a US Federal client.** Serving as the Owner's Representative , this role is responsible for providing comprehensive oversight of project ... project budget. + Resolve disputes and contractual issues by working with legal, claims , and project control teams. + Review the payment invoices, negotiate disputed… more
- HUB International (Fort Lauderdale, FL)
- …experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and ... responsible. These include non-routine coverage issues and questions, denial of claims , renewal strategies for key accounts, and interpretation of non-routine… more
- Tennessee Valley Authority (Brownsville, TN)
- …procurement/materials management, events planning, legal/contractual services, workers' compensation claims , and general office management. Typical duties may ... and disposal of organizational records. + Serving as organizational representative /contact for office and personal communication equipment (copiers, fax machines,… more
- The County of Los Angeles (Los Angeles, CA)
- …do not meet medical necessity and level of care criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. ... care evaluation studies. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining… more
- The County of Los Angeles (Los Angeles, CA)
- …and implementing technical competencies. + Serves as the department's chief representative or liaison with other hospital disciplines or service departments when ... school of radiologic technology in compliance with standards established by State certification and licensing bureaus. LICENSE: + A current, active certification … more
- Ochsner Health (New Orleans, LA)
- …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... - + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. + Excellent communication and… more