- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …products for the maintenance of everyday health. As the Associate Director of Commercial Data Science, you will play a pivotal role in driving the foundational ... commercial data and analytic strategy for emerging assets. The...with pharmaceutical data sources such as IQVIA, Komodo, Symphony Claims , and other syndicated resources; strong understanding of Patient/… more
- AIG (Charleston, WV)
- …your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and… more
- The Hartford (Hartford, CT)
- Team Leader Claims - CH08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation,...goals + Stay current on issues impacting personal and/or commercial business including industry and marketplace trends, strategic direction… more
- AIG (Lenexa, KS)
- …your skills and experience as a valued member of the team. Make your mark in Claims Our Claims team are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network ... policy. JOB DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a… more
- South County Hospital (Wakefield, RI)
- …new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues ... + Prepare and present reports and data related to risk, patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the… more
- PPL Corporation (Louisville, KY)
- …Risk Management Departments to identify and incorporate appropriate levels of commercial protection, and conduct negotiations to achieve the optimal business results ... parental guarantees. + Analyze and develop company position on claims and disputes, and subsequently consult with senior management...Legal and IT security to secure company data via commercial documents when it is in the possession of… more
- PPL Corporation (Allentown, PA)
- …Office of General Counsel to identify and incorporate appropriate levels of commercial protection, and conduct negotiations to achieve the optimal business results ... for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to… more