- Hackensack Meridian Health (Neptune City, NJ)
- …Enter the required information into appropriate system accurately and assure clean claims for timely reimbursement. + Answer incoming telephone calls. Monitor all ... referral management systems for new and referral updates on a continuous basis. Answer calls and questions utilizing excelling customer service skills. Assist with outside referrals if organization is unable to accommodate referral request. Network and build… more
- The Cigna Group (Bloomfield, CT)
- …IFP programs. + Conduct both statistical and qualitative analyses utilizing claims , pharmacy, laboratory, and demographic data sources. + Facilitate the transition ... to digital quality measurement by adapting data workflows, analytical tools, and reporting methodologies. **Clinical Integration** + Connect clinical practice with data analytics to inform evidence-based care enhancements. + Partner with nursing and clinical… more
- CARMAX (Columbus, OH)
- …♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders ... for work performed and accuracy of all labor, parts and sublet documentation for billing. . ♦ Close and invoice repair orders. ♦ Clearly explain and communicate all recommendations/repairs/service/maintenance performed to ensure customer understanding. ♦… more
- Centene Corporation (Indianapolis, IN)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more
- Centene Corporation (Lansing, MI)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and ... coaches providers on gap closing opportunities. + Assists in identifying specific practice needs where WellCare can provide support. + Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education. +… more
- Centene Corporation (Austin, TX)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more
- Les Stanford Chevrolet and Cadillac (Dearborn, MI)
- …problems; order parts and tools as necessary. * Oversee administration of warranty claims as well as training and supervising of service department. * Set schedules ... and assigns tasks to service department employees. * Reinforces company policies and adheres to company standards. * Encourages compliance with applicable laws and regulations. * Maintain good working relationship with factory(s) and foster positive employee… more
- Sedgwick (Dublin, OH)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- Access Dubuque (Dubuque, IA)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- The County of Los Angeles (Los Angeles, CA)
- …Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being questioned based ... and standards; serves as the liaison with the physician advisor for the referral of unusual questionable cases, on...steps to view correspondence, and we will not consider claims for missing notices to be a valid reason… more