- Atlantic Health System (Morristown, NJ)
- …with the ability to handle a variety of matters related to claims , policy development, and professional review activities. Responsibilities + Review professional ... liability claims and...experience + Management Experience Preferred #LI-AW1 At Atlantic Health System , our promise to our communities is; Anyone who… more
- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy ... under the pharmacy benefits. + Facilitate resolutions to issues involving claims adjudication, member concerns, and provider communications. + Addresses complex… more
- Holzer Health System (Bidwell, OH)
- The insurance clerk is responsible for working claims , processing edits, and doing their due diligence to ensure correct claim processing and payments from ... payer policies, and specific payer coding guidelines; follow-up on unpaid claims , process insurance takebacks, overpayments, and refunds, and perform other duties… more
- 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
- Ford Motor Company (Allen Park, MI)
- …+ Develop robust and comprehensive diagnostic strategies for charging systems , covering system -level interactions, component failures, and wiring-related ... Industry Experience:** 10+ years of progressive experience in automotive electrical power systems , power electronics, and control system development within the… more
- University of Miami (Miami, FL)
- …for internal users. + Monitors system availability, working closely with system administrators and business systems analysts. + Recommends changes in ... tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth-University of Miami Health System IT Department has an opportunity for a full-time… more
- Air National Guard Units (Reno, NV)
- …Provides technical guidance regarding the overall scope of the MILPDS and interfacing systems to identify and solve personnel system related problems, which ... could inhibit or prevent a high state of readiness. Serves as the system manager for case management tracking systems . Responds to inquiries from all MAJCOM… more
- Methodist Health System (Dallas, TX)
- …ACO (MPCACO) physicians and their office personnel; and representatives of Methodist system hospitals and other facilities. Essentially, the job purpose is to foster ... advancing the mission, vision and values of Methodist Health System (MHS). Job Requirements: * Bachelor's degree preferred *...and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze… 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
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system… more