- Humana (Oklahoma City, OK)
- …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... townhalls and/or trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide the Perfect Experience in all… more
- Sedgwick (San Antonio, TX)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- WellSense (NH)
- …liaison between Provider Relations Consultants and internal Plan departments such as Claims , Benefits, Audit, Member and Provider Enrollment and Clinical Services to ... **Key Functions/Responsibilities:** + Investigate, document, track, and assist with claims resolution + Interact with various operational departments to assure… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …Legal and Regulatory Department by managing a broad range of litigation and claims matters, with a primary focus on insurance broker professional liability, breach ... time. **Manage a high volume of active and potential claims .** + Assess new claims and lawsuits,...also qualify for restricted stock units and/or a deferred compensation plan. **_CRC Group supports a diverse workforce and… more
- State of Colorado (Denver, CO)
- …CO 80203 FLSA Status Exempt; position is not eligible for overtime compensation . Department Contact Information Vanessa Rhea: ###@coag.gov Type of Announcement This ... which primarily involves complex civil rights litigation and associated constitutional claims , habeas petitions, civil appeals and advice matters for state agencies.… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...and promote fairness in all aspects of our organization. ** Compensation Statement** Mount Sinai Health System (MSHS) provides a… more
- Walmart (Spencer, IA)
- …Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures, ... training. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (Coralville, IA)
- …Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in...excludes any additional items such as incentives, bonuses, clinical compensation , or other items. NYU aims to be among… more
- Elevance Health (Los Angeles, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...in good faith believes is the range of possible compensation for this role at the time of this… more