- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** *This is a remote based position* Identifies, reviews, and interprets third party payments, adjustments and ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- State of Massachusetts (Boston, MA)
- …*ASSISTANT ATTORNEY GENERAL* * * HEALTH CARE & FAIR COMPETITION BUREAU FALSE CLAIMS DIVISION__ __ Attorney General Andrea Joy Campbell is looking for an experienced ... and highly motivated attorney to join her False Claims Division as an Assistant Attorney General. The False Claims Division holds accountable individuals and… more
- Ross Stores, Inc. (Dublin, CA)
- …of the Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in arbitrations\. This ... primarily working on optimal litigation results \(agency, individual, and representative actions\) with the potential for future work on...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more
- ProSmile (Woodbridge, NJ)
- …Collections this might be the right role for you! THIS JOB IS 100% REMOTE but must be available to work Eastern Time Zone Responsibilities: + Responsible for ... and exhausting all efforts to quickly resolve unpaid dental claims . + Ensures all dental insurance related duties are...Demands and Work Environment The physical demands described are representative of those that must be met by an… more
- Humana (Oklahoma City, OK)
- …determination of the appropriate courses of action. The Provider Relations Representative - Behavioral Health (BH) is responsible for day-to-day front line ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Sysco (Portland, OR)
- …governmental specifications. Utilize email and electronic monitoring system to submit claims to suppliers on products not meeting product specifications. Follow up ... with suppliers on claims . Work closely with FSQA, Merchandising and/or Accounting Department...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... while assuring program effectiveness. They serve as the Contracting Officer Representative for all transportation contracts, including common carrier, Special Mode,… more
- GCG (Salt Lake City, UT)
- …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... 75% depending on project volume), this role offers a remote work arrangement.** **What you'll do** + Provide and...+ Develop detailed manuals to assist customers with warranty claims and installation support + Provide on-site training, product… more
- Centene Corporation (Frankfort, KY)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set...set up. + Provide support to the external provider representative to resolve provider data issues + Research and… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …SpecialtyRx is a full-service pharmacy. We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... to train for 3 weeks onsite with the potential in going remote . Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch and we will be glad to… more