- HCA Healthcare (Campbell, CA)
- …resolution of provider and member issues with Network Management, Medical Management and Claims departments + Insures that caller logs are maintained in the computer ... Handle multi tasks simultaneously + Willingness to travel locally + Knowledge of claims payment systems + Possess excellent problem-solving skills and is able to… more
- The Robison Group (Albuquerque, NM)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor , Field Operations Manager, Case Management, etc. Department Surveillance Employment… more
- UIC Government Services and the Bowhead Family of Companies (Crane, IN)
- …precedents, receives initial instructions, equipment requirements, and advice from supervisor or engineer as needed, performs recurring work independently. Work ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …clinical issues, device and equipment compliance, incident management, and claims /lawsuits. + Provides liaison support for quality review processes including ... Legal Affairs health care attorneys with the management of risk incidents, claims , and lawsuits including managing the litigation hold process; locating and… more
- Ansible Government Solutions (Philadelphia, PA)
- …medical center or whenever possible. + The contractor shall notify the VA shift supervisor when clinic access is less than desirable or if an individual patient ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- Wolf Creek Nuclear Operating Corporation (Burlington, KS)
- …quality of work, missed due dates, customer service issues, and property damage claims . Supervisors will ensure that a high quality of work and schedule adherence ... by contactors. Field inspections could occasionally include projects assigned to peers. Supervisor may be asked to assist in remedial actions to correct problems… more
- Truecare Homecare Agency (Brooklyn, NY)
- …provided to clients for corrections + Monitor and track patient authorizations, informing supervisor of any expired dates + Review and audit all authorizations for ... all documentation to centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the insurance companies… more
- Hawaiian Electric (Honolulu, HI)
- …litigation matters including commercial, contract, personal injury, and property damage claims , from case inception to judgment and appeals; advising officers, ... litigation matters including commercial, contract, personal injury, and property damage claims , from case inception to judgment and appeals; advising officers,… more
- UPMC (Pittsburgh, PA)
- …HCFA, DOI and NCQA laws and standards. + HS diploma and pharmacy claims , pharmacy tech, and/or other related experience in a physician practice, ancillary provider, ... or other relevant healthcare setting required. + Competent in pharmacy claims process operating system. + Excellent knowledge in UPMC's Health Plan internal… more
- Dairy Farmers of America (Winnsboro, TX)
- …with management to create a comprehensive onboarding plan which includes supervisor -led training for new employees + Facilitate talent management initiatives to ... Maintain personnel files in assigned locations + Manage Worker's Compensation claims as needed. Participate in safety and risk initiatives, including… more