- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...+ Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time… more
- RWJBarnabas Health (Newark, NJ)
- Manager , Charity Care - Northern Hospital Sites, Bilingual Spanish/English requiredReq #:0000207198 Category:Leadership Status:Full-Time Shift:Day ... Avenue at Osborne Terrace, Newark, NJ 07112 Job Title: Manager Location: System Business Office Department Name: Patient Accounts...KPIs, such as days in A/R, denial rate, clean claim rate, and cash collections, ensure timely submission of… more
- PPL Corporation (Allentown, PA)
- …build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine ... sought by the Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for large PPL Electric… more
- Sedgwick (Southfield, MI)
- …RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for… more
- Adecco US, Inc. (Columbus, OH)
- Adecco is hiring immediately for a **Field Reimbursement Manager ** with a local client. **Hybrid (must reside within 45 minutes of a major airport in the following ... are recorded and tracked for reporting purposes daily with reporting to manager weekly. . Educate on Benefit Investigation, Prior Authorization Process, Support… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …the Director of Patient Financial Services, the Patient Accounting Follow Up Manager is responsible for providing leadership and oversight of all underlying billing ... resolution and denials management for all Government Payers. The Manager will lead a team of follow-up staff and...informed of problems, which may delay timely submission of claims or extend ageing of receivables. + Establish billing… more
- Adecco US, Inc. (Baltimore, MD)
- …currently assisting one of its clients in their search for a Field Reimbursement Manager to work remotely from Baltimore, Maryland! **Pay rate** : $ 58.17 **Shift ... on Apply Now and don't forget to upload your resume!** The Field Reimbursement Manager (FRM) plays a critical role in facilitating patient access to therapy by… more
- HCA Healthcare (Kingwood, TX)
- …coverage; + * You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of ... and integrity. We care like family! Jump-start your career as a(an) Manager Patient Safety today with HCA Houston Healthcare Kingwood. **Benefits** HCA Houston… more
- CVS Health (New Albany, OH)
- …we do it all with heart, each and every day. **Position Summary:** This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office training and ... employee. There will be an expectation that the Case Manager works in the office at least one time...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management… more
- Centene Corporation (Carson City, NV)
- …Nye, Storey or surrounding areas_** **_._** **_Candidate with a strong claims background, experience in issue resolution or client interaction highly preferred. ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more