- Banner Health (AZ)
- …the best place to work and receive care. The **PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with assigned payer for ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more
- Magellan Health Services (San Diego, CA)
- …program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System ... and their dependents, and contractors verified through the Trusted Associate Sponsorship System (TASS). + Performs as a Verifying Official (VO) on DEERS/RAPIDS… more
- University of Washington (Seattle, WA)
- …Program Manager, the Construction Manager (Healthcare) serves as the University's representative in managing the construction and closeout phase of healthcare ... renovations of portions of an existing building or utility system . The Project Delivery Group places a strong emphasis... for dispute resolution; review and respond to delay claims ; develop proposed solutions to solve outstanding problems. +… more
- Humana (Indianapolis, IN)
- …Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative (Provider Engagement Professional 2) who is responsible for the day-to-day front ... and resolving issues or complaints. The Provider Education & Outreach Representative will specialize in supporting Long-Term Services and Supports (LTSS) and… more
- Stantec (Charleston, SC)
- …forward. From hospitals and airports to university campuses, mass transit systems , water treatment facilities, mines, and wind farms, we've successfully managed ... is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of...Evaluate, advise on and assist in resolving disputes and claims - Traditionally reports to project executive or principal.… more
- Sysco (Front Royal, VA)
- …are not limited to the following: + Maintain accurate files and filing systems to include operations documentation and other miscellaneous documents. + Write, type, ... abuse form, photos of the load, and applicable TTR report to the RDC Claims Coordinator for product disposition. + Coordinate getting the pallet trailers moved to a… more
- Air National Guard Units (Langley AFB, VA)
- …Training. Validates course attendance is complete and updated in the proper systems . Ensures application procedures for skill level technician training and resident ... ensure upgrade/withdrawal actions are accomplished. Serves as the field representative for the Community College of the Air Force....GS-07 level or equivalent pay band in other pay systems in the Federal government. This experience may also… more
- Pedernales Electric Cooperative (Johnson City, TX)
- …the UC mapping system + Participate in the process for damage claims + Resolve customer complaints and answer customers' questions + Provide employees with ... the operation, maintenance, construction and repair of transmission and distribution systems . Essential Duties & Responsibilities + Demonstrate mastery and continue… more
- Air National Guard Units (Reno, NV)
- …a wide variety of technical, professional, clerical and wage occupations representative of a complex military organization. Plans, compiles and forecasts ... years based on retirements and other attrition projections, conversion of weapons systems , etc. Monitors and reviews all applications for training to ensure proper… more
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