- Guidehouse (San Antonio, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The **Patient Account ... Representative - Self-Pay - Healthcare** is an extension of...and soft collections.** + Inbound calling emphasis + Account Review + EOB knowledge + Assist patients with policy… more
- MTA (New York, NY)
- …to discuss contract grievances and employee discipline appeals; perform analytical review of claims , grievances, and discipline transcripts; prepare substantive ... Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters...North America's largest transportation network, serving a population of 15. 3 million people across a 5,000-square-mile travel area surrounding… more
- CVS Health (Frankfort, KY)
- …of critical provider information and inquiries. Staff are responsible for timely review , response, tracking, and routing of provider inquiries received via the ... a timely manner. Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst...+ **This position has to reside in KY (within 3 hours of the capital)** **Preferred Qualifications** + Knowledge… more
- Insight Global (Newark, NJ)
- …coverage. They will complete applications for state and federal programs and review medical records to take all necessary action to expedite benefit approval. ... They will be communicating with government agencies regarding status of claims and maintain documentation of claims . We are a company committed to creating… more
- Highmark Health (Harrisburg, PA)
- …2. File Maintenance Analysis. + Applying complex and detailed guidelines in the review process of the submitted requests + The documentation application must comply ... Ensure the file meets all regulations prior to updating the provider file 3 . Data Integrity. Contact external sources to collect or clarify information or… more
- Takeda Pharmaceuticals (Lexington, MA)
- …consultations on brand messages, 2) reviewing promotional materials for content and accuracy, 3 ) coordinating the development and review and approval of clinical ... slides housed in the Medical Affairs slide repository, and 3 ) other relevant publications in the therapeutic areas and...US Medical colleagues. * Serve as Medical Information and Review subject matter expert representative at US… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- Transportation Engineer 3 (Engineering) - Facilities Design Unit Division of Facilities and Transit Recruitment # 251017-9108FQ-001 Location Newington, CT Date ... ), is now accepting applications for a Transportation Engineer 3 (Engineering) (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=9108FQ&R1=&R3=) position within the Division of Facilities… more
- Access Dubuque (Dubuque, IA)
- …claims ; and to execute technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial ... payment processing, and error correction of complex or high exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and authorizes claims and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …coding education to providers in that area. Duties include hands-on documentation review , surgical coding of physician or other qualified health care provider ... **Job Description:** **Essential Duties & Responsibilities:** **Coding Responsibilities:** **Provides review and/or coding of any professional services including but… more
- Festival Foods (WI)
- …available programs related to various lines of insurance are fully utilized. + Review company policies and emerging trends within claims to determine coverage ... to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports'… more
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