- OneMain Financial (New York, NY)
- …and delivering opportunities that increase insurance coverage rates, improve claims experiences, and enhance operational efficiency. This is a high-impact ... and utilize insurance products throughout their journey-from loan origination to claim resolution. **Key Responsibilities** + **Own the end-to-end digital insurance… more
- Conifer Realty LLC (Rochester, NY)
- …business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt + ... with the execution process in coordination with project management and legal teams. Claims , Litigation, and Risk Management + Track, monitor, and maintain records of… more
- Robert Half Technology (Clearwater, FL)
- …will collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering ... Responsibilities: * Gather and document detailed business requirements to support claims administration systems . * Create and maintain comprehensive… more
- South County Hospital (Wakefield, RI)
- South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. ... and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation...staff. + Manage the risk and feedback software reporting systems . + Ensure timely submission of required safety events… more
- North Carolina Central University (Durham, NC)
- …while avoiding claims . Manages and affects validation of Life Safety Systems for adherence to governing codes and regulations and NCCU Standards through active ... of buildings and infrastructure to renovations of existing facilities and building systems . Examples may be replacement of boiler equipment, new roofing, underground… more
- Manulife (FL)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... management and Requesters + Optimally applies internal case management systems to keep department management updated and to plan...and trains more junior investigators on long term care claim cases and processes + Ability to travel on… more
- Fairview Health Services (St. Paul, MN)
- …processes. Provides subject matter expertise on technical and compliance areas that impact claims processing including EPIC HB system , and payor requirements. + ... in compliant and trusted outcomes for patients, providers, workforce and system . Overall responsibilities include development and oversight of operational metrics,… more
- University of Southern California (Arcadia, CA)
- …errors promptly and accurately. + Correct any errors promptly and have the claim resubmitted if needed. + Displays professional commitment and supports the unit team ... contractual adjustment on the account and have a corrected claim submitted to the insurance carrier in a timely...the patient account note area within the current computer system . + Maintain productivity report for accounts within assigned… more
- Sharp HealthCare (San Diego, CA)
- …nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home health ... HCPC coding using appropriate tools.Make determination on the more complex claims that are designated CC authorization level within SCMG TAT guidelines.Coordinates,… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …resources and explaining CRC determinations. 5. Review and enter referral and claim information into appropriate databases or systems to maintain accurate ... and federal requirements. You will support patients through scheduling, claims processing, eligibility review, denial communication, and appeals, while maintaining… more
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