- Marriott (Boston, MA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Assists with ... unemployment claim activity reports. * Attends unemployment hearings and ensures...* Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of… more
- Marriott (Koloa, HI)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and distributes unemployment claim activity reports to property management. * Attends unemployment...* Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate underpaid or overpaid claims ; determine final resolution.- - - Re-calculate ...refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims … more
- Amentum (Washington, DC)
- …timekeeping, narratives, corrective action, and other staff management concerns. + Assist Project Manager in all aspects of Claims Review team management. + ... Civil Division. Works under the direction of a Project Manager , performing the following duties: + Act as primary...claim review lifecycles and the ability to triage claims based on established guidelines. + Highly skilled in… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually Location Los Angeles County, CA Job Type Temporary Job Number… more
- CVS Health (Hartford, CT)
- …Medicare pricing methodologies and contracts, various Medicare Advantage claim policies, ClaimsXten/Cotiviti edits, Utilization Management and Provider Demographics. ... business requirements into test scenarios to validate configurations and associated claim adjudication logic. + Trouble-shooting (HealthRules Payer) HRP repair edits… more
- Aflac (Farmington, CT)
- …on state regulations. + Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive ... Leave Case Manager The Company: Aflac Columbus The Location: Farmington,...Medical Leave experience a plus. + Knowledge of medical disability management preferred. + Strong organizational skills. + Excellent… more
- Community Health Systems (Franklin, TN)
- …for processing, auditing, and submitting primary and secondary insurance claims , ensuring accuracy, compliance, and timely reimbursement. This role utilizes ... electronic claims management systems to review, correct, and resolve billing...internal teams, facility liaisons, and payers to ensure clean claim submission and adherence to federal, state, and payer-specific… more
- Cardinal Health (Fresno, CA)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and...collection targets. + Develop and implement processes to improve claim resolution timelines and reduce denials and underpayments. +… more
- Johns Hopkins University (Middle River, MD)
- …as needed and submits to third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim edits as needed. + Confirm credit ... Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more