- Richmond Community Services (Mount Kisco, NY)
- …skilled team to ensure that our employees receive the best benefits and leave management possible. This is an exciting opportunity to contribute to a cause you can ... all records are maintained accurately. + COBRA & Disability Claims : You'll help employees maintain their benefits through COBRA...least 2+ years of experience in benefits administration, leave management , or a similar HR role (5+ years is… more
- Kemin Industries (Des Moines, IA)
- …will monitor and influence regulatory changes, support product safety, substantiate claims , and ensure label compliance. Additionally, they will provide guidance ... global regulatory approvals and clearance for Kemin Health ingredients, labels, and claims . + Serve as official Kemin liaison to regulatory entities, including, but… more
- Cardinal Health (Doral, FL)
- …ensure that day-to-day service and production goals are met. + Assists management in monitoring associates' goals and objectives daily; motivates and encourages ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more
- Sedgwick (West Hills, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Wells Enterprises (Le Mars, IA)
- …and deliveries. Ensures that good customer relations are maintained, and customer claims and complaints are resolved fairly and effectively, and in accordance with ... the company policies. Provides product, ordering, and delivery information to customers. Interprets internal or external business issues and recommends solutions/best practices. Solves complex problems; takes a broad perspective to identify solutions while… more
- Northwell Health (Manhasset, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to ... physician requests, provides updates and resolves issues. + Coordinates and implements credentialing activities to assist providers with the completion of applications for network contract offerings; monitors applications and follows-up as needed. + Conducts… more
- Bureau of Land Management (Bishop, CA)
- …of covered/creditable appointments and copies of approved letters based on individual claims . Physical Demands: The work involves long hours of sitting, intense ... concentration, and working at peak proficiency/intensity levels with irregular breaks and mealtimes. The duties of this position create a highly stressful environment during peak activity, requiring the ability to keep calm in emergency situations. Must be… more
- Health Care Service Corporation (Chicago, IL)
- …+ Extensive knowledge of provider and facility contracting, products, and claims /processing systems. + Negotiation skills + Relationship building skills + Knowledge ... of marketplace + Meets deadlines and works well under pressure + Verbal and written communication skills to interact with all levels of corporate personnel and providers. + PC proficiency to include Microsoft Office + Analytical skills and business acumen to… more
- University of Virginia (Charlottesville, VA)
- …issues. + Maintain compliance standards for providing accurate information on all facility claims . + Carries out other assignments or special projects as assigned. + ... Responsible for ensuring all appropriate charges for complex service lines are being captured and documented in accordance with policies and procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Payment Integrity Operations Job Category: Management /Executive Department: Office of CSC Excellence Location: Los Angeles, CA, US, 90017 Position ... pre-payment and post-payment accuracy activities. This position integrates operational management with analytic, regulatory, and contract-driven development to prevent… more