- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... - Bachelor's - Working knowledge of basic office computer systems . Job LocationsUS-NY-Bronx ID2025-5166 Category Management Position Type Regular Full-Time… more
- Queen's Health System (Honolulu, HI)
- …with other members of QCIPN, assists, develops and maintains database systems , reports, and analyses used by QCIPN for performance improvement activities, ... safety initiatives. * Works with a multiple sources of healthcare data, ie, claims , financial and clinical data, to meet both internal and external reporting… more
- City of New York (New York, NY)
- …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
- Fairview Health Services (St. Paul, MN)
- …accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment ... + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims… more
- Stanford Health Care (Palo Alto, CA)
- …electronic health record, physician billing systems and other business systems including system functionality, workflows, and reporting; proactively identify ... efforts will drive actions to secure payment for all claims sent to payors. The Senior Manager serves as...organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective… more
- Generac Power Systems (Waukesha, WI)
- …issues. + Instructs new dealer personnel on how to navigate Generac's warranty systems and submit claims electronically. + Troubleshoots with the dealer ... experience. + Advanced Problem-solving skills. + Basic knowledge of control system programming. **Preferred Job Requirements:** + Generac Master Certification or… more
- Hubbell Power Systems (Hubbell, NE)
- …on market, distributor(s), end-user(s), and projects when requested. + Utilize CRM system as directed by BU management + Works with other Hubbell disciplines ... to resolve commercial disputes, such as warranty claims , credit issues, product expedites, etc when necessary. +...the region. + Develops expertise in the products and systems represented in order to act as a resource… more
- ATI (Dallas, TX)
- …initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to outside counsel and serve as the ... discovery responses and document productions. + Maintain litigation tracking charts and claim databases to ensure lawyers are informed of case posture and deadlines.… more
- Elevance Health (Norfolk, VA)
- …Primary duties may include, but are not limited to: + Audits paid claims for overpayments using various techniques including systems -based queries, specialized ... Specialist II is** responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
- Robert Half Accountemps (Vancouver, WA)
- …correct claim denials by identifying underlying issues and resubmitting claims . * Conduct accounts receivable follow-up to secure timely reimbursements. * ... is ideal for professionals with expertise in medical billing systems , attention to detail, and a proactive approach to...attention to detail, and a proactive approach to resolving claims issues. Responsibilities: * Process large volumes of medical… more