- Rady Children's Hospital San Diego (San Diego, CA)
- …all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following ... from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability /vet more
- Sedgwick (West Hills, CA)
- …LTD Manager , or Project Manager . + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and revisions to ... & Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to… more
- UNC Health Care (Kinston, NC)
- …posting, patient accounts receivable management and follow up, charge entry, EDI/ claim submission/ claims rejections, and external collection activities. Provides ... and well-being of the unique communities we serve. Summary: The DME Billing Manager oversees the day-to-day operations of Down East Medical Supply's revenue cycle… more
- Berkshire Hathaway Automotive (Irving, TX)
- The Risk Manager at Berkshire Hathaway Automotive will develop and administer organization-wide risk management programs while continuously evaluating potential ... program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation,… more
- CVS Health (Virginia Beach, VA)
- …all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case management ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- Freeport-McMoRan (Phoenix, AZ)
- Regional Manager Corporate Contracts Requisition ID: 140008 Location: Phoenix, AZ, US, 85004-2121 Category: Supply Chain Share this Job Why You Should Apply For This ... proper contract administration though control of the back charges, claims , correspondence, weekly meetings, proper documentation and other critical activities… more
- AmeriHealth Caritas (Manchester, NH)
- As the Manager of Provider Network, you will build and nurture strategic provider partnerships that strengthen our network, drive innovation, and ensure high-quality ... processes, ensuring compliance with pricing guidelines, contract standards, and claim payment methodologies. + Drive implementation of electronic strategies to… more
- CVS Health (Rantoul, IL)
- …in compliance with network management and clinical coverage policies. BH Case Manager is responsible for telephonically and/or face to face assessing, planning, ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility.… more
- US Tech Solutions (Richmond, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- HUB International (Wilmington, MA)
- …unique, regional culture. We currently have an opportunity for a Senior Account Manager - Large & Complex. **SUMMARY OF RESPONSIBILITIES** : Responsible to lead ... Review all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Handle renewals, service requests, claims ,… more