- Providence (WA)
- …organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual ... assists the Claims leaders in managing a quality assurance program to ensure compliance with...and write-offs and serve as our mandatory reporting authorized representative + Facilitate monthly claims files internal… more
- TEKsystems (Reston, VA)
- …ESSENTIAL FUNCTIONS: 50 Independently researches contractual benefits limitations exclusions and claims to assist medical professional staff in performing the review ... of medical information. Actively participates in monthly meetings and discussions regarding quality appeal research data entry and to problem solve any issues… more
- Access Dubuque (Dubuque, IA)
- … Southwest Health Client Service Representative Cottingham & Butler/ SISCO Claims Representative Cottingham & Butler/ SISCO Patient Access Representative ... Insurance Representative **Medical Associates** 1 Positions ID: oeGnwfwx Posted...level of accreditation possible by the National Committee for Quality Assurance , for 13 consecutive years. Medical… more
- Percepta (Melbourne, FL)
- …to improve new and existing technical training materials * Participating in Quality Assurance technical standard setting meetings * Improve overall claim ... service across each market we support. As a **ESP Prior Approval Technical Representative IV** in **Melbourne, Florida** , you'll be a part of creating and… more
- State of Minnesota (St. Paul, MN)
- …and integrity, client ease of access including utilization management and case management, quality assurance and improvements, claims management, long term ... concepts, health care purchasing, incentives, risk-based contracting, rates development, cost sharing, quality assurance and quality management principles. +… more
- WSP USA (San Bernardino, CA)
- …local agency employee (or a consultant hired by a local agency) who performs quality assurance over the contractor's work that involves structures and who ... WSP is currently initiating a search for a **Full** - **Time Structures Representative ** for our **San Bernardino, California** office. Be involved in projects with… more
- Trinity Health (Ann Arbor, MI)
- …and procedures. Maintains departmental computer database files and data used for quality assurance , statistical reporting and other purposes. This may include ... the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Schedules,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Travelers' Claim Organization is at the heart of our business. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation ... you will handle all aspects of a workers compensation claims . In this role, you will learn how to...work. You will develop the technical skills needed for quality claim handling including investigating, evaluating, negotiating, and resolving… more
- Ochsner Health (Morgan City, LA)
- …impeding the efficient and effective registration of accounts; working with team on quality assurance scores to improve accuracy and by monitoring the workques ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Subaru of America (Pennsauken, NJ)
- …Technical Service Representatives to review new or updated information provided by Field Quality Assurance (FQA) or NASI. Presents an overview of interesting, ... SUMMARY Join our team as a Technical Service Representative for Techline, where you'll play a pivotal role in supporting retailer technicians by providing expert… more
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