- Offices, Boards and Divisions (Washington, DC)
- …the Senior Executive Service Deputy Director in its Torts Branch - Federal Tort Claims Act Section. Responsibilities The Torts Branch's Federal Tort Claims Act ... and often controversial, suits filed under the Federal Tort Claims Act including cases based on medical care, regulatory...review and analysis of facts pertaining to cases or claims brought against the United States and its employees… more
- The Hartford (Hartford, CT)
- …forms accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing to meet ... timely, accurate compliance consultation to varied constituents including underwriting, claims , CCST, actuarial, clients, on topics including + Policy… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …dependents within Mendocino County, offering counseling, guidance, and advocacy throughout the claims process to help veterans and their families access the benefits ... gathers, and evaluates records, documentation, and other evidence to support claims for benefits; assists veterans and/or their dependents in obtaining required… more
- NJM Insurance (Trenton, NJ)
- …process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail ... to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit to...regulation, and internal audit to ensure the development of claims handling practices are compliant with state and federal… more
- Saint Luke's (Kansas City, MO)
- …6:00AM - 6:00PM Claim Edits * Responsible for researching patient billing claims to identify and correct coding/claim errors * Responsible for researching patient ... insurance coverage to identify and resubmit claims to fix coverage denials. * Research and outline...outline documentation needed for respective payor organizations so that claims are processed correctly * Familiarity with NCCI edits,… more
- Cardinal Health (La Vergne, TN)
- …their distribution channels, ensuring broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely ... and accurate processing of ATSP claims for CGT treatments. + **Compliance:** Ensure all contracting...for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies.… more
- TEKsystems (Woods Cross, UT)
- …improvements to maximize efficiency and accuracy. Key Responsibilities + Submit approved claims for processing and ensure proper acceptance through billing and EMR ... systems. + Research, resolve, and resubmit denied claims ; interpret explanations of benefits (EOBs) from insurance carriers....+ Take timely and routine action to collect unpaid claims and resolve disputed balances. + Collaborate with office… more
- University of Washington (Seattle, WA)
- …risk management, patient safety, clinical quality, patient relations and UW Claims Services to develop and implement compassionate and transparent patient ... clinical care teams, clinical risk management, patient safety, clinical quality, claims services, patient relations, and patients and families following perceived or… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **LOCATION**...about prompt account resolution and revenue collection from complex claims , high dollar claims , and specialized services.… more
- Southern States Cooperative, Inc (Richmond, VA)
- …to the following main P&C Insurance disciplines: Underwriting, Customer Interface, Claims , and Business Intelligence. (The levels of exposure to each specific ... : customer account handling, including risk identification and assessment Claims : new claims generation, claims setup and handling, development, resolution… more