- Iowa Department of Administrative Services (Davenport, IA)
- …contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
- State of Colorado (Denver, CO)
- …expectations for a high level of efficiency, economy, and quality of care. + Analyzes claims data to monitor utilization trends, using data systems such as ... Medicaid Management Information System (MMIS), Cognos (a claims mining system) and other data systems,...the official appeal form signed by you or your representative . This form must be completed and delivered to… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …be documented with current status and strategy to bring claim to closure. Compile claims data and update logs, tracking and trending reports and communicate ... time ( on -site ) Monday - Friday The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between… more
- State of Colorado (Denver, CO)
- …decrease Medicaid fraud and abuse due to inappropriate billing practices. + Analyzes complex data and report design to support the rules and goals of Medicaid and ... accurate and detailed requirement specifications related to medical coding and claims processing. + Collects, analyzes and evaluates information to determine the… more
- LifePoint Health (Richlands, VA)
- …Team, Risk Manager and the companies Legal Counsel of potential litigation or malpractice claims . * Reviews medical records for liability issues * May be asked to ... patient satisfaction surveys * In conjunction with the Operations Team, provides quality data as available to Senior Management. * Provides data for analysis,… more
- Guardian Life (Holmdel, NJ)
- …and key resource for day-to-day tier 3 escalations related to eligibility, enrollment, and claims . This includes but is not limited to: + Overseeing the Field ... Representative billing process and collaborating with internal stakeholders and...(BAC), reviewing, researching, presenting, and responding to administrative plan appeals . + Processing all health, welfare, and wellness vendor… more
- Air National Guard Units (New Castle, DE)
- …transportation portions of the Automated Unit Equipment List (AUEL). Analyzes traffic data and characteristics to determine areas of potential improvement and makes ... of Transportation Discrepancy Reports (TDR) and other documents in support of government claims against carriers for freight loss and damage or failure to provide… more
- Avera (Pierre, SD)
- …complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff. + Work with ... and drug assistance. Regularly assesses updated information regarding insurance data , authorizations, and preferred providers. Track free drug assistance to… more