- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …office manages the full UI lifecycle, including employer tax collection, benefit claims processing, fraud prevention, and appeals Louisiana Works (LWC) is seeking an ... Directly manages adjudication and call center staff who file claims , answer benefit claims questions, make updates...Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency… more
- The County of Los Angeles (Los Angeles, CA)
- …a resource for senior data engineers and architects in the selection and design of systems for use by the data science team. Reviews proposals by Data Scientists and ... improvement of data science tools and ensures that the team's tools and systems are well documented. Conducts and coordinates statistical inference of data and… more
- Insight Global (Newtown Square, PA)
- …ingestion to final delivery, ensuring accuracy, reliability, and compliance across all systems . You'll work hands-on with Collibra and other data quality tools to ... combines technical expertise with functional knowledge of healthcare data domains ( claims , eligibility, provider, member) to ensure data accuracy, completeness, and… more
- Trinity Health (Dubuque, IA)
- …and meet the payers' coverage criteria and documentation requirements prior to generating a claim /invoice. + Prepares and submits all paper claims in a timely ... making necessary corrections prior to billing, preparing, and submitting the hardcopy claims generated from Brightree, responding to and resolving all requests for… more
- Weill Cornell Medical College (New York, NY)
- …needed. Tracks and resolves issues on denied claims . Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. + Obtains, ... management billing system as...demographic and insurance information within the practice management billing system . + Verifies patient insurance eligibility and obtains necessary… more
- The Coca-Cola Company (Atlanta, GA)
- …will support diverse initiatives related to ingredient and formula compliance, claim substantiation, and digital systems innovation & process optimization. ... reviewing compliance of formulations across beverage categories, managing records across data systems , etc. + Conduct research on new and emerging ingredients and… more
- Cedars-Sinai (Los Angeles, CA)
- …Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating ... back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work comp follow-up and duties include: + Participates… more
- Robert Half Technology (Greenville, SC)
- …handling niche, highly specialized roles without hesitation. * Preferably familiar with claims systems , health plan configuration, or similar fields. * ... and maintaining client benefit plans, contracts, and paycodes within a legacy AS400 claims processing system . This is a contract-to-permanent position within the… more
- Ventura County (Ventura, CA)
- …Plan. If eligible, you may establish reciprocity with other public retirement systems , such as CalPERS. + Additional Benefits: Incumbents are entitled to County-paid ... County's financial exposure. It also involves overseeing all aspects of the claims process for the County's self-insured programs, from initial reporting to… more
- Tidelands Health (Myrtle Beach, SC)
- …reimbursement of service rendered and to maintain an industry standard clean claim rate. **What you will do** + Analyze medical records, interprets documentation, ... (ICD 10 CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), and modifiers utilizing designated software, coding manuals and… more
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