- Centene Corporation (Nashville, TN)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set...ancillary providers within assigned area. + Act as account manager for assigned groups acting as gatekeeper for interactions… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- …Full Time **Position Description:** Under the management of the Finance Manager , the Financial Analyst carries out processing and financial administration for ... management and accurate completion of Section 8 voucher processing and special claims review. Approval of monthly vouchers, submit approved vouchers and tenant data… more
- Sedgwick (Bedford, TX)
- …Automotive Customer Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** + **_401K_** + ... + Escalate customer, dealer or 3rd party issues to manager as appropriate + Ensure quality of service on...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- City of New York (New York, NY)
- …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... with contractual obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the performance of… more
- Omaha Children's Hospital (Omaha, NE)
- …and daily management for insurance and government collections to include claims , A/R follow-up, denials and appeals. This includes supervising, monitoring, and ... practices, policies, regulatory, and legal requirements. * Assisting the department manager in the implementation of the strategic direction within the department… more
- Ellis Medicine (Niskayuna, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's codes and charges ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well ... This role does not manage people + This role reports to this job: MANAGER , PROVIDER REIMBURSEMENT + Necessary Contacts: In order to effectively fulfill this position… more
- Baylor Scott & White Health (Temple, TX)
- …benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department policies and ... members by phone or in writing to effectively resolve claims processing issues for all Health Plan products, utilizing...Specialist 1 staff in collaboration with the Call Center Manager . Collects, reviews, and reports on quality control activities… more
- Mount Sinai Health System (New York, NY)
- …Engagement. The Associate Director of Quality will be the direct manager of the MSHP Quality Care Coordinators. **Qualifications** **Education and Experience** ... roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...on assigned projects to the Construction Safety Admin, Project Manager and Superintendent. + During the Project, conduct routine… more
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