- CommScope, Inc. (GA)
- …the ANS Global Distribution & Transportation organization, reporting directly to the Director of Global Distribution & Transportation. This role is responsible for ... reports to identify trends and opportunities. + Oversee the global freight claims process and ensure timely resolution. **Freight Claims :** + Investigate… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …discrepancies by payers. Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in developing, ... Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial… more
- US Anesthesia Partners (New York, NY)
- …Business Partner (HRBP) is an individual contributor responsible for assisting the HR Director /Sr HR Director to align business objectives with employees and ... include proper record maintenance. + Assists in responding to unemployment claims and/or employment verifications as needed. + Facilitates and/or provides training… 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 ... to treatment units, fill prescriptions, process Medicare part D claims , and issue pharmaceutical credits back to clients: +...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- Genesis Healthcare (PA)
- …to join our Advanced Care Organization (ACO) team. This is a remote position. **Current certification in medical coding from an accredited institution (such ... work as a compliance team member to ensure that claims submitted through participating LTC ACO TINs, including PAI...and vision of the organization by working with the Director of Quality Coding and Provider Compliance in identifying… 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...AM - Jacksonville, AM - Memphis, AM - Miami Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- Humana (Oklahoma City, OK)
- …investigations into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... Medicaid program transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key Role Functions** +… more
- Lundbeck (Deerfield, IL)
- …brain health and transform lives. Join us on our journey of growth! ** Remote /Commuter Opportunity - Open to candidates within the United States** **Summary:** The ... Manager, Field Compliance will support the Director , Field Compliance and Investigations with driving and implementing all elements of the Lundbeck US Compliance… more
- US Tech Solutions (Columbia, SC)
- **Location: Columbia, SC 29229 ( Remote after training)** **Duration: 3+ Months Contract (Possible Temp to Hire)** **Job Description:** + Must be an RN in SC and have ... - Monday-Friday, 8:30am-5pm. + Onsite training for first 1-2 weeks then remote training. + Reviews and evaluates medical or behavioral eligibility regarding benefits… more