- OhioHealth (Orient, OH)
- …C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system , to include but not ... **We are more than a health system . We are a belief system .**...payment plans, ensuring accuracy of information placed in information systems and billing systems . Works electronic medical… more
- Evolent (Lansing, MI)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Houston Methodist (Bellaire, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Robert Half Accountemps (Salem, OR)
- …to industry standards. This position requires expertise in handling insurance claims , payment reconciliations, and patient billing inquiries using advanced clinical ... and accuracy using clinical software. * Submit electronic and paper insurance claims promptly to ensure timely payments. * Review patient demographic and insurance… more
- Sysco (Warrendale, PA)
- …team, and partner with EHS function to implement the global EHS management system . The role aims to accomplish the following: Supporting their sites in executing ... on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims … more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …* Works with WSSC Water team to determine best way to generate reports of claims information from two systems to enable actuarial review to establish appropriate ... complete insurance applications * Advises on the filing of property and casualty claims with the General Counsel's Office * Coordinates policies, bids, and renewals… more
- MTA (New York, NY)
- …fleet and more subway and commuter rail cars than all other US transit systems combined. MTA strives to provide a safe and reliable commute, excellent customer ... varying levels of support and analysis to Senior OCIP Administration Claims Analyst, Assistant Director, and Deputy Director; actively contributes to managing… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... relevant WMG internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and WMG's internal… more
- Highmark Health (Pittsburgh, PA)
- …Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case ... the center of all they do. This 9 Hospital system , a part of Highmark Health, is transforming the...OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, health improvement, and renewal + Design and implement ... journey optimization covering: onboarding, network management, utilization management interaction, claims processing, quality reporting, and value-based care participation +… more