- Cleveland Clinic (Cleveland, OH)
- …clinical role, every member of the Cleveland Clinic team is a caregiver. Serving as Systems Analyst IV, being a caregiver starts in the office, where you will apply ... your technical expertise to automated system products through all phases of development, including design, implementation, modification, feasibility testing and… more
- Commonwealth of Pennsylvania (PA)
- …complete. Developing and applying a good operational understanding of the Wayne County Transportation System is key for success in this role. If you are an excellent ... Levels of Performance Select the "Level of Performance" which best describes your claim . + A. I have experience sorting, filing, and retrieving documents. My duties… more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** This position will manage all key aspects of systems operations, including configuration setup, system and integration testing, ... reports and queries for key operational data. The Business Systems Manager is critical in ensuring systems ..., and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience… more
- Marriott (Forest Heights, MD)
- …level role will be the subject matter expert on STAR Relations, HRIS systems , internal processes and procedures in the area of compliance and internal/external ... Benefits** * Works with unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares,… more
- Robert Half Office Team (Carmel, IN)
- …Specialist, where you will play a vital role in resolving denied medical claims efficiently and accurately in a fast-paced setting. Schedule: Monday through Friday, ... Responsibilities: + Review insurance denials and conduct thorough research to resolve outstanding claims . + Analyze patterns and trends in denied claims to… more
- The Hartford (Hartford, CT)
- …market conduct, and EB regulatory reporting + Support complaint response for complex claims as requested by Claim Specialists or legal + Partner with ... accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing...plans + Guide clients to set up certificate fulfillment systems , eg building rules and logic to ensure the… more
- CVS Health (Harrisburg, PA)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Naval Sea Systems Command (Dahlgren, VA)
- …designs and materials/concepts, provide advice on specific technical aspects of the systems , and use innovative thinking to solve complex problems. You will ... understand the interactions of electrical components within a system , demonstrating the ability to use circuit design and simulation tools to develop and evaluate… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. Responsibilities: + Demonstrates proven abilities… more