- Covenant Health Inc. (Knoxville, TN)
- …reports every morning. + Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims ... Held Reports. + Oversees the Notification of Missed Visits and submits to physicians. + Acts as a backup and resource for the Patient Services Coordinator in rescheduling missed and declined visits, and processing reassigned and rescheduled requests to ensure… more
- Highmark Health (Montgomery, AL)
- …the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- The Estee Lauder Companies (Melville, NY)
- …savings opportunities for the Company. + Oversee and manage the Sales Tax Reverse Audit Claims projects completed by PWC determining those that are viable and ... + Successfully manage and negotiate favorable Sales & Use Tax audit settlements and claims for refund with government authorities. Assist with the preparation of… more
- ManpowerGroup (Vienna, VA)
- …payment. + Identify and investigate potential fraud, discrepancies, or irregularities in claims processing. + Provide detailed audit findings and recommendations ... with regulatory requirements, including state and federal laws governing life insurance claims . + Develop and maintain audit checklists, procedures, and reports… more
- ManpowerGroup (New York, NY)
- …processes, identify discrepancies, and collaborate with various departments to ensure proper claims handling. **Key Responsibilities:** + Audit Life Insurance ... in providing training and guidance to junior auditors and other staff on audit processes, policies, and compliance requirements. + Claims Process Improvement:… more
- WTW (New York, NY)
- …+ **Conduct stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added ... **Be responsible for the overall technical, financial, service, and audit performance and results of the partner TPA at...degree or equivalent with ten or more years of claims servicing and technical experience.** + **Knowledge at the… more
- WestCare Foundation (Henderson, NV)
- …reports to the management team on a defined basis + Handle CARF Service Claims Audit reports quarterly including facility reports to Billing Supervisor. + ... Conduct supportive administrative assistant-type duties as needed + Embrace and embody the mission, vision, guiding principles, clinical vision and goals of WestCare Foundation; and + Perform all other duties as assigned. Qualifications Essential… more
- The Goodyear Tire & Rubber Company (Portland, OR)
- …+ Responsible for other miscellaneous assigned tasks related to the billing, claims and audit compliance workload. + Recommend process improvement ideas ... to: ** + Manage location Office Admin and Office Managers in maintaining audit compliance and create streamlined efficiencies in the overall billing processes. +… more
- Shinda Management Corporation (Queens Village, NY)
- …required processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre- audit LIHTC/HUD and HOME tenant files for all ... of HOME Annual Owner Certifications + Centralize and maintain LIHTC tenant files for audit ready purposes + Perform in-house audits as needed + Prepare reports as… more
- DXC Technology (Richmond, VA)
- …quality control and assurance tasks, by reviewing Life and Annuity Death Claims payment and correspondence review, to ensure product compliance with regulatory and ... work experience in Life and Annuity** Proven experience in Life/Annuity Death Claims processing and Quality review** Proficiencies in quality assurance and risk… more
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