- AmeriHealth Caritas (Washington, DC)
- …by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and ... of electronic strategies for provider network to include increasing electronic claims submission and implementation of improved processes that result in increased… more
- BrightSpring Health Services (Valdosta, GA)
- …report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned Operations. + Timely ... follow up on insurance claim denials, exceptions, or exclusions. + Maintain open communication...private insurance and/or federally funded programs, researching aging and claims . + Experience in reading and understanding remits for… more
- Philips (Malvern, PA)
- **Your role:** + Working with various commercial insurnace payers to resolve claims and denials. + Escalating payor issue trends for leaderships consideration along ... with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. + Developing and maintaining… more
- Clark Construction Group, LLC (Mclean, VA)
- …our risk management team and is responsible for managing Clark's insured claim and litigation docket, leading the Company's eDiscovery process, managing Clark's ... and federal regulations applicable to the construction industry. + Provide support for claims management and litigation. + Oversee and manage all elements of the… more
- Clark Construction Group, LLC (Mclean, VA)
- …with our in-house legal team and is responsible for managing Clark's claim and litigation docket, leading the Company's eDiscovery process, managing Clark's owner ... contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery… more
- Cummins Inc. (Fort Myers, FL)
- …with repair that can be covered and communicates to stakeholders; files a claim in the appropriate system using proper documentation and requirements to ... - Identify customer's needs, gathers pertinent information, provides quotes, develops claims , prepares repair plans and provides status updates to customers on… more
- Johns Hopkins University (Baltimore, MD)
- …Spring Station. Applies an in-depth knowledge of the EPIC Professional billing systems . Activities, which consist of obtaining and verifying financial and insurance ... routine financial transactions, and enter basic financial data into university systems . **Specific Duties & Responsibilities** _Procedural Knowledge_ + Serve as… more
- Space and Naval Warfare Systems Command (Patuxent River, MD)
- …development, modeling and simulation, hardware integration, test and evaluation, and systems engineering You will be responsible for stakeholder communication and ... the oversight of requirements definition, research and development, systems integration, qualification and testing, training, production, contracting You will be… more
- Naval Air Systems Command (Jacksonville, FL)
- …lines, and fuel cells. You will install, align, and adjust aircraft systems , assemblies, and components according to established guidelines. You will inspect, ... and accessories, including armament mounts, hydraulic components, and environmental control systems . You will use common hand tools, measuring devices, and test… more
- Naval Air Systems Command (San Diego, CA)
- …perform final functional and operational tests on a variety of major aircraft systems You will disassemble components/ systems and determine the required repairs ... during engine run. You will conduct pressure and obstruction tests of fuel systems and check pneudraulic/hydraulic systems after repair on aircraft. Requirements… more