- Guidehouse (El Segundo, CA)
- …You Will Do** **:** The **Insurance Patient Account Representative** **(Hospital Claims )** is an extension of a client's business office staff. Representatives ... are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned. **_This… more
- Healthfirst (NY)
- …+ **_Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysis_** ... + **_Managing education//training regarding company-wide initiatives including but not limited to new product implementation, regulatory initiatives, and other various health plan business objectives_** + **_Serving as an advocate for Hospital Providers within… more
- Capital One (Chesapeake, VA)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of ... working virtually at home? Then a Capital One Customer Operations role may be the role for you! To be eligible for this role, candidates must live within a 100 miles radius of one of the following zip codes (** **_excluding CA_** **) and report in person, when… more
- Command Investigations (TN)
- …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + P&C investigations + Accident scene investigations + Writing accurate and detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Ability to prioritize and organize multiple… more
- Cedars-Sinai (Los Angeles, CA)
- …innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai ... Medical Center **Job Category** : Patient Financial Services **Job Specialty** : Revenue Integrity **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $44.98 - $71.97 Cedars-Sinai is an EEO employer. Cedars-Sinai… more
- Capgemini (El Paso, TX)
- …: Bachelor's degree Role Specific Competencies: + Should have baseline skills in BPO Technology, Commercial Control and Analytics. + Should have progressing in BPO ... Process. **Life at Capgemini** Capgemini supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being… more
- JPMorgan Chase (Columbus, OH)
- …by delivering high-quality products that resonate with clients. As a Product Manager in Claims and Disputes, you are an integral part of the team that innovates new ... product offerings and leads the end-to-end product life cycle. As a core leader, you are responsible for acting as the voice of the customer and developing profitable products that provide customer value. Utilizing your deep understanding of how to get a… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and ... have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily.… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of ... DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to cooperate with… more
- JPMorgan Chase (Columbus, OH)
- …of a team at the forefront of innovation. As a Product Delivery Manager in Claims and Disputes, you work to enhance and optimize the way products are delivered to ... customers. As a key member of the team, you create solutions and efficiencies that enable successful implementations in an expedient and organized way. Consumer & Community Banking (CCB) Operations Product organization provides critical cross-line of business… more