- AECOM (New York, NY)
- …of additional work and potential claims . + Help to prepare and submit claims and claim responses as required. + Management of project tasks, DBE compliance, ... following: + Accountable for all activities related to the management of the project budget and schedule. Resolves commercial...conditions that could lead to a change orders or claims . + Review contract documents and advise regarding procedures… more
- Humana (Providence, RI)
- …policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, dispute resolution ... Provider Education Professional must demonstrate strong content creation, project management , and organizational skills, as well as effective collaboration across… more
- Guardian Life (New York, NY)
- …or related fields. + Minimum 5+ years of experience in product management , underwriting, and/or claims , preferably in disability, absence, or supplemental ... offering including but not limited to: new product development, the overall management of the existing portfolio, partnering with distribution and marketing to… more
- Capgemini (Atlanta, GA)
- …Expertise:** Serve as the SME for payment workflows across policy issuance, claims , and premium collections. + **Cross-Functional Management :** Lead teams across ... of the insurance lifecycle and how payments intersect with policy, claims , and finance.Hands-on experience with platforms such as **OneInc, Stripe, Adyen**… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Case Management Managed Care Consultant? At HCA Healthcare, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Case Management Managed Care Consultant like you to be a...and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on… more
- University of Southern California (Alhambra, CA)
- …Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- Sedgwick (Jacksonville, FL)
- …or GED required. **Experience** One (1) year of experience in construction management , restoration and/or insurance claims and customer service required. ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Sedgwick (New Orleans, LA)
- …or GED required. **Experience** One (1) year of experience in construction management , restoration and/or insurance claims and customer service required. ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- BrightSpring Health Services (Union City, CA)
- …knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...in any area of the pharmacy as directed by management Qualifications + High school diploma or equivalent +… more
- BrightSpring Health Services (Wilkes Barre, PA)
- …knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...in any area of the pharmacy as directed by management Qualifications + High school diploma or equivalent +… more