- AdventHealth (Hinsdale, IL)
- …leadership for the assigned departments and related duties. Responsible for maintaining compliance with the operational budget and assisting with the operational and ... the success of the department including patient/physician/employee satisfaction, regulatory compliance , and stewardship. + Establishes a positive motivating, constructive… more
- Aston Carter (Naperville, IL)
- …and evaluating claims to determine eligibility and negotiate resolutions in compliance with company policies and state regulations. The ideal candidate will ... perform general administrative duties including filing. + Support audits and ensure compliance with regulatory requirements. Qualifications + Minimum of 1 year of… more
- NTT DATA North America (Plano, TX)
- …regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and ... regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and… more
- Amazon (New York, NY)
- …claims resolution as needed. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk/loss prevention, or equivalent ... to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with SQL and Excel Amazon is an equal… more
- Defense Logistics Agency (Red River Army Depot, TX)
- …work (Cont.) Checks work in progress and completed work for compliance . Answers workers questions regarding procedures, policies, written instructions and ... directions. Provides information to supervisor on status and progress of work. Receives, examines and determines the condition and disposition of a wide variety of materials. Reviews disposal turn-in document (DTID) accompanying material and compares data… more
- Pegasus Steel (Ladson, SC)
- …will be performed at various stages of the production process in compliance with applicable codes, standards, or other specified requirements. Places safety and ... environmental issues as a priority at all times. Compiles and evaluates statistical data to determine and maintain quality and reliability of products. + Understand, comply and support corporate safety initiatives to ensure a safe work environment. +… more
- Adecco US, Inc. (Syracuse, NY)
- …involves investigating claims, determining benefits, managing litigation, and ensuring compliance with statutory requirements. The ideal candidate will have strong ... analytical skills, a deep understanding of workers' compensation processes, and the ability to negotiate settlements effectively. **Key Responsibilities:** + Analyze and process complex workers' compensation claims to determine exposure and benefits due. +… more
- International Medical Group (Indianapolis, IN)
- …benefit due; initiating payment or composing denial letter. + Ensures legal compliance by following company policies, procedures, guidelines, as well as state and ... federal insurance regulations. + Maintains quality customer services by following core values. QUALIFICATIONS + At least 1 year of prior medical claims processing experience OR willing to consider at least 2 years of experience with coding, billing, reviewing… more
- Banc of California (Santa Ana, CA)
- …tasks including, timely submission of an expense report after each exam, Compliance Training classes, and completion of Billing Assistant by the 1st of ... each month. + Treat people with respect; keep commitments; inspire the trust of others; work ethically and with integrity; uphold organizational values; accept responsibility for own actions. + Demonstrates knowledge of and adherence to EEO policy; shows… more
- NTT DATA North America (Dallas, TX)
- …regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and ... act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining… more