- Northern Light Health (Portland, ME)
- …for the development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in coordinating in-depth risk ... education of hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in patient safety… more
- University of Washington (Seattle, WA)
- …and accountability. This role is integral to helping lead how the health system responds to unexpected patient harm events, while fostering a culture of ... risk management, patient safety, clinical quality, patient relations and UW Claims Services to develop and implement compassionate and transparent patient… more
- Insight Global (Pawtucket, RI)
- …entering and verifying patient and insurance information, coding procedures accurately, and submitting claims . You will follow up on unpaid or denied claims , ... This position requires strong attention to detail, familiarity with medical billing systems , and the ability to work efficiently in a fast-paced environment. Other… more
- Cardinal Health (Doral, FL)
- …group purchasing contracts. + Demonstrates knowledge of financial processes, systems , controls, and work streams. + Demonstrates experience working collaboratively ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...+ Manages billing queue as assigned in the appropriate system . + Investigates and updates the system … more
- CVS Health (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 (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
- Unum Group (Chattanooga, TN)
- …a "single point of contact" for the employer to assist understanding of individual claim or leave status as well as providing consulting and education on disability ... to ADA, integrated leave management procedures, FMLA process, and STD/LTD claims management. + Provides consultation and education to customer about individual… more
- Cognizant (Earth City, MO)
- …specialized applications, including knowledge of hardware, software, applications and preferred vendor systems . . Knowledge of claim formats (eg, ANSI, NSF, and ... 4. Documenting all issues comments and resolutions in appropriate software system applications. **GENERAL REQUIREMENTS:** Ability to work in fast paced dynamic… more
- PennyMac (Fort Worth, TX)
- …the preparation and execution of essential legal documents, such as proof of claims and motions for relief, ensuring accuracy and compliance with all legal and ... the calculation of financial figures, such as proof of claim figures and affidavits in support of motions +...lead special projects related to bankruptcy processes, compliance, or system enhancements What You'll Bring + A high school… more
- 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