- System One (Turkey, TX)
- Job Title: Project Manager - Data Center Location: rural West Texas Type: Direct Hire System One is assisting a client in hiring a Project Manager for their Data ... EPC/EPCM contractors delivering HV AIS substations and 3rd-party power integration systems . Manage performance guarantees, liquidated damages, change orders, and … more
- System One (Lockhart, TX)
- Job Title: Electrical Project Manager Location: Lockhart, Texas Type: Direct Hire System One is assisting a client in hiring an Electrical Project Manager to support ... and third-party technical groups. + Oversee protection & controls, EMS/SCADA systems , plant controllers, power quality troubleshooting, and other technical needs… more
- UCLA Health (Los Angeles, CA)
- …reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, edits, and other holds ... charge integrity, reconciliation, and charge linkages from ancillary charging systems + Train patient financial services units on revenue... processing guidelines + Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system +… more
- OhioHealth (Columbus, OH)
- …review and oversight of practitioner claim trends from the organization's claims /incidence database. In partnering with System Quality, this role also ... **We are more than a health system . We are a belief system .**...reputational, or financial. This position will include reviewing potential claims for reporting to the OGC. This role is… more
- State of Massachusetts (Boston, MA)
- …and verify claim information and update records using the online system . **6.** **Advises claimants, employers, and/or their representatives, by telephone or via ... this series make determinations on eligibility for benefits in disputed claims after gathering necessary information through interviews; issue timely determinations… more
- Genesis Healthcare (MA)
- …and performs day-to-day billing and collection activities associated with resolution on claims for payment from assigned payers. The supervisor directs his/her unit ... 8. Performs following day-to-day billing and collection activities such as preparing claims for payment from Managed Care Carriers and following up on any/all… more
- Molina Healthcare (Bothell, WA)
- …agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate ... Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves and… more
- Molina Healthcare (Houston, TX)
- …all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial ... Analysis_ * Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. * Applies understanding of… more
- MAPFRE Insurance (Webster, MA)
- …Damage Department. In this role, you'll ensure exceptional customer service, accurate claims investigation, and timely settlements. You'll also play a key role in ... Service** + Supervise adjusters handling first- and third-party physical damage claims under personal and commercial auto policies. + Monitor staffing levels,… more
- Coregistics (Elgin, IL)
- Quality System Specialist Elgin, IL (http://maps.google.com/maps?q=Elgin+IL+USA+60123) Description National contract packaging company who lives and breathes a ... being multiple steps above the rest is seeking aQuality System Specialistwith at least 3+ years' experience in a...absence or vacancy. . Aid in the management of claim programs as well as partnerships with agencies such… more