- State of Georgia (Fulton County, GA)
- …liaison with the Office of the Attorney General (AGO) and the Risk Management Services of the Georgia Department of Administrative Services (DOAS/RMS) for liability ... matters. The Legal Analysis Specialist reports to the Legal Director . This position is perfect for candidates who seek...of contact, analyst, and responder for civil litigation and claims against the Department: + Serves as a designated… more
- Zurich NA (Dallas, TX)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …address important business questions and opportunities. You will report into the Director of Brand Analytics and support OAPI's pipeline asset(s). The Senior ... post-graduate degree (Master's/Ph.D.) in quantitative field highly desired (Statistics, Management Science, Operations Research, Engineering, Accounting, Business, Marketing, Economics… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and logs as… more
- Covenant Health Inc. (Knoxville, TN)
- …problem-solving & verbal-written communication skills, as well as excellent time management . + Review patient accounts for resolution- check status with insurance ... company for billed claims that have not processed & determine what may...facilities, adhering to desired behaviors. + Assists Vice President, Director , Managers and Supervisors on activities and projects, as… more
- Carle Health (Champaign, IL)
- …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health… more
- Genesis Healthcare (Moline, IL)
- …balance flexibility, with no on call! We are seeking a FFS Attending Physician/Medical Director for float position between our centers located in Moline, IL and Mt. ... Morris, IL. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. Must be BC/BE...within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and… more
- WM (Reserve, LA)
- …and to maintain regulatory compliance. Also responsible for local coordination and management of claims -related activities, including working closely with third ... party administrators (TPA) and management to resolve claims at the least...(EMEAA):** **Certifications and/or Licenses:** Associate Safety Professional (ASP) Certified Director of Safety (CDS) Certified Industrial Hygienist (CIH) Certified… more
- US Tech Solutions (Columbia, SC)
- …and established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency, claims ... typical day would like in this role: Employee will be providing telephonic case management and utilization management for our members. The expectation is to… more
- The Hartford (Sunrise, FL)
- …partners and agents through timely delivery of industry leading safety and risk management solutions. This role will have a Remote work arrangement, with the ... business activities and needs, make recommendations that will assist the insured's management to correct and prevent the potential for future financial loss +… more