- Rady Children's Hospital San Diego (San Diego, CA)
- …the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim ... ensuring it is correctly reflected on submission of the claim . They register new patients in the system...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Commonwealth of Pennsylvania (PA)
- …and issue official correspondence. Your role also includes reviewing Workers' Compensation claims for accuracy and system entry, as well as assisting ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Select the Level of Performance that best describes your claim . + A. I have experience analyzing collective bargaining… more
- Naval Air Systems Command (Cherry Point, NC)
- …and components. You will de-arm, remove, install, and arm ejection seats and ordnance systems . You will use test equipment as applicable to the trade, for example; ... Additional qualification information can be found at: https://www.opm.gov/policy-data-oversight/classification-qualifications/federal-wage- system -qualifications/#url=List-of-Approved-Job-Elements Experience refers to paid and unpaid… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …BMD supporting maintenance, operation, and the tactical employment of the SPY Radar System and Aegis Weapon System . + Develops, tests, maintains, and delivers ... training programs and related materials in support of Surface Combat Systems Training Command (SCSTC) ATRC training objectives. + Teaches approved course content and… more
- Johnson Thermal Systems (Abilene, TX)
- …practices using leading and trailing indicators. + Facilitates the workers' compensation claims process including initial entering of claim ; assisting in the ... adjusters, and investigators; and processing documents pertaining to the incident and claim . + Facilitate onboarding of new employees and various classroom and… more
- GuideOne Insurance (West Des Moines, IA)
- …letters, disclaimers of coverage and reservation or rights letters. + Maintains effective claim file documentation and diary system . + Monitors diary to achieve ... you will be responsible for the full adjustment of first party commercial lines claims . In this role, you will be primarily accountable for overseeing large loss … more
- LA Care Health Plan (Los Angeles, CA)
- …Plan Core Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer, etc.). This position serves ... management testing and related best practices. Facilitate production controls and system configuration data codification. Monitor and review systems edits,… more
- Sharp HealthCare (San Diego, CA)
- … claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and ... + Associate's Degree + 2 Years Direct experience in project planning and system implementation. + Experience as systems analyst within a large Health… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
- Robert Half Accountemps (Rochester, NY)
- …ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim ... clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim /denial/coverage concepts and terms, and relevant HIPAA… more