- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Friday + 8:00am-4:30pm + Hybrid schedule The Role: + Oversee the claim and prior authorization review processes, dental regulations and procedure adherence, ... vendor to ensure the timely handling of prior authorization claim reviews; + Evaluate the quarterly approvals and denial...federal laws, statutes and regulations; + various public health systems and programs; + one or more of the… more
- CVS Health (Frankfort, KY)
- …to the member to determine accuracy/appropriateness of benefit/administrative denial. -Research claim processing logic to verify accuracy of claim payment, ... -Computer literacy in order to navigate through internal/external computer systems , including Excel and Microsoft Word. **Required Qualifications** -Experience in… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …minimize accounts receivable and enhance collection performance. Utilize electronic medical billing systems as well as in depth advanced knowledge of medical billing ... RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission) &...trends, correct, appeal), Claim Edits (ensure clean claim submission) & Transaction history (track claim … more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...solution of a variety of problems of organization, budget, systems and procedures, program, facilities planning, general management, and… more
- Allied Universal (Bradenton, FL)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... truly matter. Main Responsibilities: Knowledge of/Experience using security camera systems [Salient and Ubiquity preferred]. Knowledge of/Experience using access… more
- MyFlorida (Port Saint Lucie, FL)
- PERSONNEL TECHNICIAN III HR - SES Date: Sep 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. *Other Personnel Technician III… more
- Stony Brook University (East Setauket, NY)
- …following up on rejected, denied insurance claims and/or experience using claims scrubber systems . + Experience with Inpatient and Outpatient billing ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Herc Rentals (Bonita Springs, FL)
- …Submit warranty claims to multiple manufacturers through the manufacture's website warranty system in a timely basis. The claims must be monitored to ensure ... for additional assistance beyond the stated warranty period or policy. Create claims from the work orders for those failures following the manufacturers requirements… more
- Aston Carter (Naperville, IL)
- …high volume claims processing and invoicing. + Knowledge of home systems repair methods. + Detail-oriented with strong organizational and time management skills. ... with providers and overseeing service request hubs, including emergency claims . You will play a crucial role in ensuring...provide support. + Document and track activities in company systems . + Follow policy and procedures for daily tasks.… more
- Health Advocates Network (Albany, NY)
- …documentation is received prior to contract execution; * Assist Contracts team with claim reviews using financial system generated control points for of annual ... Work with agency fiscal staff and providers as necessary to resolve discrepancies in claims ; * Identify problem areas and trends and develop solutions; * Assist in… more