- Fallon Health (Worcester, MA)
- …acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant ... as the initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days… more
- Sacramento County (Sacramento, CA)
- …Contract Code. + Construction project scheduling, cost estimating, materials, and claims analysis. + Construction methods and techniques. + Construction Change Order ... field problem. + Write and review basic change orders, board letters, claims , correspondence to contractors, specifications and contract documents. + Make written… more
- Allied Universal (Colorado Springs, CO)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Medtronic (Northridge, CA)
- …contractual Terms and Conditions. + Gather and analyze payor data-including claim payments, product denials, sales orders, and profitability-to ensure contractual ... and managed government programs. + Experience in medical billing, claims processing, claims collections, or DME order...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Thermo King Northeast (Randolph, MA)
- …We currently have an opening for a full-time Body Shop Estimator & Sales Representative at our collision center in Randolph, MA. Your fleet is one of your ... at its best. Learn more about us at www.devivocompanies.com. What We Offer: + Certification reimbursement + Medical & dental insurance + Life insurance + 401k plan… more
- Air National Guard Units (Madison, WI)
- …ASSURANCE FUNCTIONS. THE INCUMBENT SHALL COMPLY WITH THE REQUIREMENTS OF THE CERTIFICATION PROGRAM AND WILL BE REQUIRED TO OBTAIN AND MAINTAIN CERTIFICATION ... been gained in work such as computer operator or assistant, computer sales representative , program analyst, or other positions that required the use or adaptation of… more
- City and County of San Francisco (San Francisco, CA)
- …According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are ... programs; determines eligibility and grant amount; reviews and determines re- certification . + Uses various computer software/systems to: input and maintain… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... at all levels to gather information for insurance placement, facilitates claims resolution between internal and external stakeholders, provides transparency and… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
- Goodwill of the Finger Lakes (Rochester, NY)
- …information. Provide assessments and progress notes that will substantiate associated insurance claims . + Provide Oversight on Medical Billing for OT and Resolve ... Rejected Claims - 5% + Through EMR system, respond to...or without reasonable accommodation. The requirements listed below are representative of the knowledge, skill and/or ability required. EDUCATION… more