- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …transparency, and Otsuka ethical standards. **Job Description** + Reports to Director Corporate Compliance. + Responsible for reviewing all HCP engagements along ... governing the US pharmaceutical industry, including the federal False Claims Act; Anti-Kickback Statute; Food, Drug, & Cosmetic Act;...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- City of New York (New York, NY)
- …to its extensive infrastructure and operations, DEP is party to numerous lawsuits and claims filed with the New York City Comptroller and in Court. The Litigation ... the agency in Court and Comptroller personnel who adjust claims against the City. The Litigation Support Counsel will...the Tort-related work, under the general direction of the Director for Risk Management and Litigation Support, with wide… more
- US Tech Solutions (Columbia, SC)
- …or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... determinations. Identifies and makes referrals to appropriate staff (Medical Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals,… more
- Sedgwick (Sacramento, CA)
- …department or special projects as assigned by the Finance Manager or Director . + Process account collections/receivables. + Reconcile claims activity between ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft Office + Experience working on… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance… more
- GE HealthCare (Chicago, IL)
- …This position is responsible for managing insurance program operations, claims oversight, and compliance activities. Operating with autonomy within established ... accuracy, and operational excellence. This position will be reporting to the Associate Director , Global Risk Management & Insurance and work closely with the Risk… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …Specialist is responsible for the accurate preparation, submission, and follow-up of claims for services funded by the Office for People with Developmental ... to Community Habilitation, Day Habilitation, and SEMP. * Verify that all claims meet Medicaid and OPWDD billing compliance standards. * Review service documentation… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and logs as… more
- Zurich NA (Houston, TX)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-RA1 #LI- DIRECTOR EOE Disability /… more