- Trinity Health (Maywood, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Supervisor , Financial Counselor at Loyola University Medical Center oversees six insurance ... work as an educator to LUPF staff, when constant errors occur. The Supervisor , Financial Counselor initiates recommendations on the creation of new edits to reduce… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... to complete this questionnaire completely and correctly. The experience you claim in this supplemental questionnaire must be consistent with the experience… more
- BrightSpring Health Services (Phoenix, AZ)
- …for data entry. + May produce reports and keep management informed of unpaid claims and claims pending follow-up. + Processes prescriptions by triaging and ... inputting into computer systems. + Maintains current knowledge of Medicaid claim regulations and processes. + Ensure technician adherence to local, state, and… more
- City of New York (New York, NY)
- …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the... reports and the monthly reports which detail the claim associated fees. o Coordinate with the external auditor… more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...evaluate assigned staff members. In the temporary absence of supervisor , may assume the duties of that position. New… more
- Centene Corporation (New York, NY)
- …structures, premium groups, regions, category-of-service mapping, and encounter vs. financial claim alignment. + **Financial Analysis & Accounting :** + Strong ... MAP, Medicare Advantage, and cost-sharing arrangements. + Knowledge of utilization, claims , member-months, and how they relate to cost reporting. + **Leadership… more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as an Operation Supervisor who will: - Directly and indirectly supervise ARU staff which consists of ... Clerical Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed… more
- Henry Ford Health System (MI)
- …high risk of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest ... Central Authorization: Supervisor is responsible for functions related to timely procurement of referrals and authorizations and denial management related to… more
- City of Chicago (Chicago, IL)
- **Description:** The Assistant Corporation Counsel Supervisor directs attorneys in the Special Federal Litigation Division. The Division defends sworn and civilian ... These lawsuits concern alleged civil rights violations or state law liability claims based on allegations of police misconduct or abuse of authority. Special… more
- The County of Los Angeles (Los Angeles, CA)
- OCCUPATIONAL THERAPY SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4142360) Apply OCCUPATIONAL THERAPY SUPERVISOR II ... at the level of or comparable to Occupational Therapy Supervisor I or higher. ** LICENSE: + A current...this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with… more