- MyFlorida (Fort Pierce, FL)
- …Labor and On Job training compliance programs with the Resident Compliance Specialist . Oversees coordination and administration of Local Area Program (LAP) projects ... include contract and specification interpretation, changed conditions, supplemental agreements, claims and/or disputes to ensure compliance with Construction Administration… more
- Highmark Health (Honolulu, HI)
- …work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
- Robert Half Office Team (Hillsboro, OR)
- …or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, ... identify and route claims for advanced or clinical review, and assist in...skills including interviewing, active listening, negotiation, persuasion, and conflict resolution preferred. TalentMatch(R) Robert Half is the world's first… more
- Lewis Tree Service, Inc (Springfield, MA)
- …strict adherence to safety policies and procedures + Review accident reports/property damage claims and follow up as needed through resolution + Participate in ... general foreperson, supervisors, and corporate safety investigating and settling accident claims quickly, efficiently, and sensitively + Ensures that high quality… more
- Trinity Health (Livonia, MI)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Billings Clinic (Billings, MT)
- …Compliance Department. * Ensures data accuracy prior to billing interface and claims submission. (ie, discharge disposition, appropriate use of modifiers, CPT, ICD, ... and to respond to questions and assist with problem resolution from level I coders. * Supervision of Others:...Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) at hire Or an equivalent combination of… more
- Alight (IN)
- …any/any/all the mediums ie on phone, web chat. The Full Case Management Specialist post Go-Live/Certification is required to be an efficient communicator who is well ... client plans and provisions aimed at driving first call resolution .** **She/he is expected to provide effective solutions within...on calls + 20% of production time to review claims and take required action + Handle calls with… more
- State of Colorado (Denver, CO)
- …utilizes technical expertise in state purchasing and contracting to facilitate the timely resolution of vendor and customer claims and disputes, to develop (for ... Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. ADAAA… more
- Johns Hopkins University (Chicago, IL)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. +...backup clinical care. + Ensure timely and appropriate problem resolution and follow-up with PepsiCo employees as required. +… more
- Johns Hopkins University (Chicago, IL)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. +...backup clinical care. + Ensure timely and appropriate problem resolution and follow-up with PepsiCo employees as required. +… more