- MTA (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... related functions in support of Risk & Insurance Management initiatives and MTA...handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Payment… more
- LA Care Health Plan (Los Angeles, CA)
- …members/ providers, with other duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization and ... Specialist .; submit all Grievances and Appeals response letters to Grievances Specialist on daily basis. (20%) Support UM Committee and Audit activity… more
- Morley (Saginaw, MI)
- …where you interacted with customers_ **_What's Involved_** + _As an Administrative Support Coordinator at Morley in Saginaw, Michigan, you'll manage inbound and ... help you most in this role? The kind of support and fulfillment you can find? One of our...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am… more
- Molina Healthcare (San Diego, CA)
- …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …to providing exceptional patient care? We are seeking a detail-oriented Accounts Receivable Specialist to become a vital part of our client's revenue cycle team. ... dynamic role involves managing billing and coding processes, resolving denied claims , submitting appeals, and working collaboratively with internal and external… more
- Insight Global (Cincinnati, OH)
- …meetings to develop and support various projects, coordinate and design studies to support product claims , and ensure all product claims comply with ... to consumer data focus groups to gather insights. The specialist will also conduct update meetings to ensure team...analyzing, & interpreting studies on various scientific disciplines to support product claims Must have experience in… more
- Oura (San Francisco, CA)
- …this role will be responsible for advising on regulatory risk, marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy ... compliance function at Oura, including oversight of Privacy Counsel and Privacy Specialist . This is a high-impact leadership role that requires the ability to… more
- MyFlorida (Miami, FL)
- …THIS IS AN OPS POSITION TITLE: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST POSITION LOCATION: MIAMI/DADE COUNTY POSITION #: 64858448 SALARY: $18.40/Per hour Your ... records management activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field offices and… more
- OhioHealth (Columbus, OH)
- …quality, productivity, coder training/education, physician onboarding/education and failed claims for the OhioHealth Network and OhioHealth Physician Enterprise. ... Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates to coding. This position is responsible… more