- WellLife Network (NY)
- …accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission. 3. Analyze denied or underpaid claims , identify root causes, ... of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up on outstanding balances. **Essential Functions:** 1. Prepare… more
- The Hartford (Hartford, CT)
- …for providing consultation and coordination of laboratory services for forensic claim investigations in The Hartford's brand-new state of the art Forensic ... the incidents that lead to failures, damages or defects in systems , components, equipment, and appliances within industrial, commercial, and residential locations.… more
- LG Energy Solution (Holland, MI)
- …various production - related external costs such as tolling fees, rework costs, and claim expenses in IT systems + Understanding of cost attribution based on ... manufactures large lithium ion polymer batteries and packs for Energy Storage System (ESS). Come join the leader in advanced ESS batteries! www.lgenergymi.com… more
- Aflac (Farmington, CT)
- …Leave based on state regulations. + Coordinates correspondence, forms, and other documents via the claim system ; documents the claims system in an ... Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, employer,… more
- Cognizant (Augusta, ME)
- …Analyst** , you will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. ... gaps. + Interpret **paper contracts for reimbursement** and translate them into system configurations. + Configure QNXT for **new implementations and ongoing plan… more
- Defense Health Agency (Camp Lejeune, NC)
- …Release or Discharge from Active duty) to their submissions. Although the point-preference system is not used, applicants eligible to claim a 10-point preference ... potential and actual problem areas in health care delivery systems . Assists with the investigations of Potentially Compensable Events...they arise to document factual data to deter potential claims . Interprets and applies law and policy for the… more
- Fairview Health Services (St. Paul, MN)
- …accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment ... + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims… more
- Waystar (Atlanta, GA)
- …We process billions of transactions annually, leveraging a massive dataset of claims , remittances, and patient data to drive outcomes. With Waystar AltitudeAI (TM) ... using LLMs for policy document interpretation, predictive modeling for claim denial rates, intelligent task prioritization) to create differentiated, proprietary… more
- Tetrad Digital Integrity LLC (Washington, DC)
- …transitional and target start architecture + Architectural support of payer systems including: claims processing, enrollment and eligibility platforms, Pharmacy ... into a unified, outcomes-driven approach. We are seeking a Lead Systems Architect to support a large, nationally recognized, mission-focused healthcare organization… more
- Air National Guard Units (Phoenix, AZ)
- …to screen for any unauthorized access level or dual access between the payable systems and the general accounting system . Reports discrepancies to the FM for ... with management and affected supervisors, new or modified applications affecting automated systems . Identifies needed system changes and conducts system … more
Recent Jobs
-
Health and Safety Manager
- ASRC Industrial Services (San Francisco, CA)