- Commonwealth of Pennsylvania (PA)
- …for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (ie, ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- Commonwealth of Pennsylvania (PA)
- …for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (ie, ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- Banco Popular Puerto Rico (San Juan, PR)
- …control partners and second line of defense to define corrective actions. Complaint or Claim Support + Support in analyzing compliant issues or topics ... & Compliance Officer Job Type Full Time General Description This role will support in the identification, assessment, and management of issues that could affect… more
- CVS Health (Madison, WI)
- …to learn is essential. Responsibilities of the Wheelchair DME consultant include support of the appeal process, clinical claim review process, pre-certification, ... you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality,… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with… more
- New York State Civil Service (Albany, NY)
- …$31 billion in State Aid distributed annually to school districts and BOCES in support of public elementary and secondary education in New York State. Data that ... perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Siemens Energy (Orlando, FL)
- …Day** As a Contract Manager in the Gas Services Execution group, you will support the execution of contracts pertaining to the sale and service of Siemens Energy's ... engaged in multiple projects. Your primary task is the contractual and legal support in the field of commercial contracts during the execution of national and… more
- Nuvance Health (Danbury, CT)
- …coding, charge entry, cash collection, posting and balance problems. 2.Effectively support the Charge Description Master Maintenance coordination activities in a ... and Revenue Cycle to identify, analyze and resolve CDM-related claim submission issues. Assist in the CEWL and EBEW...of the annual price adjustment. 4.Provide full cooperation and support to internal and external auditors by providing access… more
- University of Southern California (Newport Beach, CA)
- …for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment + Exhibit sensitivity ... area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref...+ Pref Knowledge of the health insurance industry and claims processing. Required Licenses/Certifications: + Req Fire Life Safety… more
- DiPasquale Moore (Kansas City, MO)
- …REQUIREMENTS: High School Diploma and a minimum of 1-year administrative support experience; Previous experience in health insurance lien management, personal injury ... injury law firm. The successful candidate will be responsible for managing all claims related to health insurance and their liens, including Medicaid, Medicare, and… more