- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the ... reports or other scoring instrument, as defined per policy. * Performs claims matching and auditing, as required, identifying missing or inaccurate data within… more
- Henry Ford Health System (Troy, MI)
- …HAP code-related committee meetings to resolve coding questions related to claims , configuration, benefits, new technology, fraud, compliance, and any other issue. ... Aside from committee meetings, assist with claims resolution issues as needed. + Assist in requesting...+ Certified Professional Coder (CPC) required but Certified Coding Specialist (CCS) and/or Certified Coding Specialist -Physician (CCS-P),… more
- Newtown Savings Bank (Newtown, CT)
- …to The Fair Debt Collection Practice Act. Assist the Account Resolution Specialist (s) with difficult or complex accounts and situations, utilizing experience ... RESPONSIBILITIES + Provide guidance and support to help the Account Resolution Specialist (s) develop skills and overcome any challenges they may encounter. Meet with… more
- Zurich NA (Los Angeles, CA)
- …Compensation Specialist designation desired + Experience handling Workers' Compensation Claims Compensation for roles at Zurich varies depending on a wide array ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- LS Power Development, LLC (St. Louis, MO)
- …American infrastructure. **Our Purpose, Mission, & Values:** Our Purpose is to solve complex energy problems that improve the world Our Mission is to make lives ... more. **About the Role:** LS Power is seeking a Contracts Specialist (Engineering, Procurement and Construction-Major Projects), who will have day-to-day… more
- University of Michigan (Ann Arbor, MI)
- …as appropriate, by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the ... our patients and safeguard Michigan Medicine against loss of accreditation, malpractice claims , and claims of negligent credentialing. + Completes evaluation of… more
- Reno Orthopedic Center (Reno, NV)
- …enthusiastic and dedicated team member to answer inbound calls regarding billing and insurance claims at our Main location - 555 N. Arlington Ave. Please note: This ... calls and addressing patient inquiries related to billing statements, insurance claims , co-pays, deductibles, and payment options. You will review and explain… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …in the Arlington, VA area. This position serves as the lead documentation specialist for complex DoD systems undergoing cloud migration, responsible for ... documentation standards, style guides, and quality assurance processes + Conduct complex technical interviews with subject matter experts, engineers, and system… more
- CACI International (Washington, DC)
- …for the VCF staff on policies and processes that cover the full end-to-end claims lifecycle. The Training Specialist will be an articulate and highly motivated ... systems that support the 9/11 victims' injury and loss claims . The VCF Transformation Project will result in the...degree in a relevant field required. + Can communicate complex information effectively. + Ability to learn, document and… more
- USAA (New York, NY)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more