- Covenant Health Inc. (Knoxville, TN)
- …and interprets Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information ... duties as assigned to the satisfaction of the CBO Operations Manager and/or Director of Revenue Cycle....Assists patient accounts staff in resolving coding issues on claims . Investigates accounts with improper match of diagnosis and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …commercial underwriters or by self-insuring. This requires the duty of managing all insurance claims , including all tort claims made against the state or any ... is the state government's management arm and the hub of its financial operations . Division offices perform a wide variety of activities including the following: +… more
- City of New York (New York, NY)
- …technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver ... Summary: The Revenue Analyst will report to the Assistant Director of State Aide Claiming along with three other...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
- State of Colorado (Denver, CO)
- …up pharmaceuticals and paperwork from the units, process Medicare Part D claims , coordinates pickup and removal of pharmaceutical wastes with vendor, answering ... Deliver medications to treatment units, fill prescriptions, process Medicare part D claims , and issue pharmaceutical credits back to clients: + Deliver medications… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …the Business Solutions & Analytics Lead who reports into the Executive Director , Medical Excellence and Operations . **Job Description** **Key Responsibilities:** ... is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- WM (Sturtevant, WI)
- …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 possible cost and effectively deploy...conditions and practices. Being highly visible and interactive with operations teams. Perform regular facility inspections and audits per… more
- The Hartford (Stamford, CT)
- … activities both now and into the future. Reporting to the NavRe Head of Operations and Actuarial, the Assistant Director serves a key role in this ... both internal and external partners including Brokers, Reinsurers, Cedents, Legal, Actuarial, Claims , Underwriting, Operations , Vendors and/or IT, to achieve the… more
- The City of Houston (Houston, TX)
- …other city departments. + Participates in special projects assigned by the Director and/or the department/division head. + Facilitates training sessions for injured ... with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management, including but not… more
- Mount Sinai Health System (New York, NY)
- …and other accrediting agencies. This individual, in conjunction with the Senior Director , participates in the orienting, training and mentoring new staff to the ... Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about the medical… more
- Sunrise Senior Living (Bethesda, MD)
- …transactions of the community. Prepares financial analysis for the Executive Director and Regional Leadership. Reconciles the community's trial balance each month ... relationships with Medicare and Sunrise Headquarters billing office to resolve claims and obtain timely reimbursement. + Maintain current knowledge of… more