- Saint Francis Health System (Tulsa, OK)
- …billing audit functions as well as the performance of routine and complex audits, oversight activities, and coordinates remediation and corrective action plans. ... contained within the patient chart supports items and services included on claims and accurately supports reasons for treatment, billing, payment, and operations.… more
- LA Care Health Plan (Los Angeles, CA)
- …Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of ... management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps.… more
- Meta (Rayville, LA)
- …controls performance metrics 22. Experience negotiating construction changes or complex construction claims **Public Compensation:** $150,000/year to ... This person will be a critical partner for the Delivery Director , Construction Management team and Schedule lead.Leadership, communication, and organization skills… more
- Fair Haven Community Health Care (New Haven, CT)
- …Health Care (FHCHC). Duties and responsibilities Reporting to the Data & Analytics Director , the Data Analyst II uses analytical skills and expertise in data ... organizational data needs and requirements. They are responsible for interpreting complex data sets, developing actionable insights, and creating detailed reports… more
- JPMorgan Chase (Wilmington, DE)
- …effective calendar management and event setup. **Job responsibilities:** + Maintain complex and detailed calendars across various executives within the credit ... prioritizing and connecting with other assistants + Assist teams in arranging complex meetings involving senior leadership or large groups; arrange and coordinate… more
- Zelis (Atlanta, GA)
- …Project Manager is responsible for both partnering with the Director of Implementation and working independently/primarily autonomously to ensure smooth ... Do: + Drives the initiation, planning, execution, and closeout of multiple complex projects simultaneously. + Partner with and lead internal and external business… more
- Virginia Mason Franciscan Health (Burien, WA)
- …Delivery Model (CDM) VMMC * Provide clinical expertise related to medical necessity claims Job Title: Physician Advisor Job Code: Dept: * Collaborate on the ... department chairs as necessary * Provide consultation to Care Coordination staff regarding complex clinical issues and advises on next steps * Documents patient care… more
- AECOM (Sacramento, CA)
- …infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been ... DSO, G&A, SCM, project delivery, client satisfaction, staff use, safety, claims resolution, and quality. **Capability Development (People, Practice and Tools)** +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, ... billing through data-driven audits and targeted monitoring. This role conducts complex , risk-based audits across coding, charge capture, and documentation to assess… more
- Experian (AR)
- …a commercial transaction attorney with several years of experience working with complex agreements for clients to join our high-growth Employer Services division. ... services, with an emphasis on employer services including verifications, unemployment claims , and tax credits and incentives. Agreements may include professional… more
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