- CenterWell (San Jose, CA)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …the hiring manager every 2 weeks. Responsibilities The Minneapolis VA Health Care System is seeking a gifted Anesthesiologist to Lead the Anesthesia Division of the ... for the Anesthesiology Service. -Oversees the development and implementation of systems redesigns projects, quality improvements and assurance programs of inpatient… more
- TEKsystems (Daytona Beach, FL)
- …+ Liaise between homeowners, lenders, and Proctor. + Document everything clearly in our claims system . + Make outbound calls when needed. ✅ What You Bring ... with Proctor? Apply now and be part of a team that's making a difference - one claim at a time. #priorityeast Job Type & Location This is a Contract to Hire position… more
- Lowe's (Mooresville, NC)
- …+ Performs specialized paralegal tasks based on attached practice area including claim review and issue recognition, investigating and responding to Notices of ... them based on transaction specific details and utilizes the matter management system to memorialize finalized documents and correspondence. + Performs legal research… more
- Dignity Health (Long Beach, CA)
- …regulatory requirements for patient safety are fully met. You will participate in system office initiatives and programs to mitigate identified risks which result in ... adverse patient outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to implement learnings… more
- Elevance Health (Mason, OH)
- …visits, referral practices, and specialty care procedures. + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing...a BA/BS in Computer Science, Business Administration, Management Information Systems , or related field of study and a minimum… more
- Dignity Health (Northridge, CA)
- …regulatory requirements for patient safety are fully met. You will participate in system office initiatives and programs to mitigate identified risks which result in ... adverse patient outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to implement learnings… more
- CVS Health (Hartford, CT)
- …years in commercial Aetna Claim Adjudication System (ACAS) contract testing, claims adjudication systems , or related functions. + 5 + years proven track ... record in governance, stakeholder management, and escalation handling. + 5 + years strong program and project management expertise, including integrated planning and risk management. Preferred Qualifications + Experience with commercial health programs,… more
- CVS Health (Hartford, CT)
- …dashboards. Preferred Qualifications + Familiarity with healthcare domain, provider contracts, and claims systems . + Experience with test management tools and ... 300,000 purpose-driven professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Provider Contract Testing** to join our Testing Center… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more