- University of Virginia (Charlottesville, VA)
- …at all locations. Encounters may be within Epic, outside electronic medical record systems , or based on paper documentation. + Reviews and resolves charge sessions ... that fail charge review edits, claim edits and follow-up work queues, identifies areas of...for assignment of codes as necessary (eg, Diagnostic Imaging system , Lab system , Emergency, Epic, and coding… more
- Catholic Health Services (Melville, NY)
- … claims status with insurance carriers, correcting and resubmitting denied claims in the EPIC billing system . Responsibilities: + Performs follow ... is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home… more
- Sedgwick (Cedar Rapids, IA)
- …departments for data accuracy. + Maintain and verify client parameters in the claims management system ; research and resolve issues. + Communicate process and ... equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred.… more
- Perdue Farms, Inc. (Salisbury, MD)
- …payments/charge backs have proper approval prior to processing. Monitors promotion and claims approvals in the Forge/CRM system . Provides management support ... a Trade Promotions Coordinator. This role reviews trade programs to determine proper systems (s) and enters into Blacksmith Forge and/or SAP CRM. Works with outside… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …ETL/ELT processes. * Ensure data accuracy, completeness, and consistency across systems such as Applied Epic, ivans download, Guidewire, and integrated platforms ... automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. *...assurance processes. * Validate data migration efforts from legacy systems (eg, on-prem databases, flat files) to cloud platforms… more
- NTT America, Inc. (Plano, TX)
- …security, audit readiness, and business continuity while transitioning mission-critical systems supporting core banking, payments, trading, underwriting, claims , ... applications into Managed Services, including core banking, policy administration, claims , underwriting, billing, payments, trading, risk, and financial reporting … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Value-Based Care** + Scale analytics infrastructure from 20M to 35-40M annual claims with advanced predictive modeling and machine learning + Perform deep-dive ... external auditors, DOL, and regulatory agencies + Develop compliance management system with controls, documentation, and audit trails **Transformation & Innovation**… more
- Horizon Services, Inc. (Hayward, CA)
- …a positive employee experience. The goal of this role is to develop the systems and processes needed to co-create a thriving environment for staff from the time ... Resources Generalist is also tasked with ensuring that through the HR systems , we promote client-centered-care, promote greater quality and equity in the delivery… more
- Great Southern Bank (Springfield, MO)
- …Specialist is responsible for preventing, responding to, investigating, resolving, and reporting claims of loss due to kite, forgery, or theft. Reviews, maintains, ... and the institution. Essential Duties and Responsibilities + Reviews system -generated reports, maintains and monitors daily reports, and pursues miscellaneous… more
- Whitsons Culinary Group (Islandia, NY)
- …+ Proficient in Microsoft Office 365 (Excel, Word, Outlook). + Experience with claims management systems and reporting platforms preferred. Work Schedule Monday ... and our Third-Party Administrator (TPA) in overseeing workers' compensation claims and administration. ESSENTIAL FUNCTIONS, RESPONSIBILITIES AND DUTIES: Safety… more
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