- Emory Healthcare/Emory University (Atlanta, GA)
- …Location:** Atlanta, GA **Description** + Reporting to the Director, Compliance Audit and Analysis, oversees audits, monitoring, and education for hospital and ... provides billing providers with relevant and timely information regarding audit results and risk areas. + Evaluates hospital and...as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the… more
- Chenega Corporation (Claremore, OK)
- …preparation, submission, and payment processes of purchase orders for services rendered. + Audit claims processed for third party resources and proper coding. + ... Utilize knowledge in the maintenance of the Document Control Register (DCR). + Referring/answering calls and questions. + Assemble PRC referrals in their required order and sequence for Alpha letter distribution. + Retrieve a variety of physicians' orders for… more
- Hubbell Power Systems (Aiken, SC)
- …regarding shipments + Investigate missing materials in SAP and warehouse location. + File Claims with carriers + Audit receiving dock monthly. + Make sure ... Unloading / Loading procedures are being followed in Receiving + Use of Microsoft Office and Outlook + Various other assigned administrative duties What will help you thrive in this role? Required skills and abilities: + Self-starter with excellent follow-up,… more
- Horizon Services, Inc. (Pleasanton, CA)
- …necessary + Ensure Safety Information is being completed including; fire drills, workman's comp claims , program safety audit , etc. and sent to HR as required. + ... Ensure confidential information is protected + Perform daily/monthly/quarterly/ and annual data entry, auditing and reporting into multiple systems + Record, document, monitor data pertaining to census models + Responsible for inventory control; monitor… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Coordinates with appropriate parties the complete/partial payment or repayment of the claims , as described in the Audit Policy, as findings are identified ... as a Best Employer. Position Summary: Responsible for supervision of clinical audit and appeals processes conducted by Revenue Integrity Department Auditors and… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims \. Oversees analysis of complex claim inquiries and reimbursement issues using… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Coordinates with appropriate parties the complete/ partial payment or repayment of the claims , as described in the Audit Policy, as findings are identified ... Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging,… more
- Axis (Chicago, IL)
- …Description** AXIS is seeking a **_Claims Manager - Excess Claims_** to join our North America Claims team and will report to the Head of Excess Claims . As a ... direct report to the Head of Excess Claims , the candidate should possess the ability to lead...claim trends + Leading and participating in claim audits, audit wrap up meetings, and formal result reporting +… more
- Robert Half Accountemps (Los Angeles, CA)
- Description The Claims Auditor reports functionally to the Administrative Manager but takes most direction from the Claims Manager. The Claims Auditor is ... for accuracy of the payment release. Provide back-up support to audit Member Service Representatives, fielding incoming telephone calls from members and providers,… more
- Public Storage (Plano, TX)
- …**Job Description** We currently have an exciting opportunity for a **Workers' Compensation Claims Manager** to join our Risk Management team based in Plano, TX. ... This individual will be responsible for administering the insurance claims process for corporate-wide workers' compensation with the objective of closing each claim… more
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