- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with revenue integrity teams to review provider services and provide effective education and feedback. Coordinates… more
- University of Rochester (Rochester, NY)
- …Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... and responds to Settlement Offers on collection agency accounts Review incoming correspondence from both internal and external customers...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- Devereux Advanced Behavioral Health (Braddock, PA)
- …laws and regulations. This will include processing enrollments, changes, and claims related to benefits (including unemployment and workers ' compensation ... leave of absences, coaching employees and management through issues, benefits and workers compensation?Are you an enthusiastic go-getter, seeking a role that allows… more
- STG International (Rockville, MD)
- …Medical Employability Program provides critical support in evaluating and managing workers ' compensation claims , reasonable accommodations, Family Medical Leave ... regulatory standards. This position provides clinical consultation and case review evaluations for workers ' compensation cases, primarily...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …and represents Sherman Associates at appeal hearings when needed. + Ensures worker 's compensation claims and programs are administered effectively to reduce ... and provides quality service to internal customers in the areas of worker 's compensation, leaves of absence, and other employee matters. ESSENTIAL FUNCTIONS Employee… more
- Gerber Collision & Glass (Hawthorne, CA)
- …Glass America is a respected leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's shop operations team and instrumental ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...facing, front line role. + Reliable and dependable hard worker with a positive demeanor. + High aptitude for… more
- University of Rochester (Rochester, NY)
- …Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality,… more
- University of Rochester (Albany, NY)
- …- New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910397 ... and training, licensure, work history, hospital affiliation history, malpractice claims history, board certification status, criminal background, evaluation of… more
- Centene Corporation (Lansing, MI)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and ... work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill sets that demonstrates… more
- University of Rochester (Rochester, NY)
- …Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical… more