- Zelis (Atlanta, GA)
- …Project Manager is responsible for both partnering with the Director of Implementation and working independently/primarily autonomously to ensure smooth ... & external stakeholders for new vendor implementations + Knowledge of healthcare claims and claim adjudication helpful + PMP Preferred + Green Belt Preferred… more
- Cassia (Edina, MN)
- …and Medical Assistance billing. The Accounts Receivable Specialist reports to the Director of Reimbursement. Position Type: Full-Time, with the potential to work ... to accounts accurately and timely. + Generate private pay statements. + Generate claims and submit them timely and accurately to all the payers responsible for.… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …all Fair Housing Laws. + Prepared compliance reports to present to Regional Director of Compliance and Senior Leadership team. Leadership and Development + Provide ... monthly vouchers. + Prepare direct adjustments for voucher and management of special claims . + Stays up to date with requirements by attending seminars and Section… more
- The Arc Erie County NY (Buffalo, NY)
- …within the Education Program, they will report to the Associate Director of Educational Operations. For general agency Administrative Assistants, they will ... for various assigned programs. This may include property and liability claims , incident reporting, coding of various invoices/bills, reconciliation of departmental… more
- McLaren Health Care (Indianapolis, IN)
- …of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special projects. **This position is ... of HMO, PPO, TPA, PHO and Managed Care functions including understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. +… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …of each. Reviews housekeeping cleaning form and conveys any problems to the Director of Residential Services. 12. Ensures that the Service Plan/Outcomes for people ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- Baystate Health (Springfield, MA)
- …**RESPONSIBILITIES:** Reports directly to Practice Leadership as designated by the Director . May receive directions from the Practice Supervisor, Practice Manager, ... responsible for identifying and rectifying all outstanding charge issues to ensure claims are billed timely and accurately. **1)** Captures billing charges for all… more
- GAP Solutions Inc (Arlington, VA)
- …requirements of DOHA's other Divisions (Department Counsel, Hearing Office, Appeal Board, Claims Division, and Woodland Hills) + Receive reports for adjudication and ... calls and VTC, and maintaining the training room, witness room and, Director 's conference room calendars, + Assist with scheduling hearings world-wide, + Conduct… more
- The Hartford (Alpharetta, GA)
- Managing Director - UQ06CB We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... Use quality management to develop talent and ensure compliance. + Leverage claims , risk engineering, and service operations partnerships. + Champion enterprise tools… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …Delivery Model (CDM) VMMC * Provide clinical expertise related to medical necessity claims Job Title: Physician Advisor Job Code: Dept: * Collaborate on the ... * Participate in review of long-stay patients, in conjunction with the Director /Manager of Case Management and to facilitate determination of the most appropriate… more