- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...+ Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Strong organizational… more
- CVS Health (Columbus, OH)
- …or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares ... on investigations + Serves as back up to the manager as necessary + Cooperates with federal, state, and...+ The ability to understand and analyze health care claims and coding + Ability to travel up to… more
- Henkel (Stamford, CT)
- …is looking for its new Clinical Study Coordinator to execute clinical studies for claims support and development of new products. If you are interested in supporting ... Job + Steer and coordinate clinical studies to strengthen claims support for the HCB NA R&D Team. Duties...and Tasks + With the support of the Clinicals manager : + Executes well designed clinical studies per written… more
- PCI Pharma Services (Philadelphia, PA)
- …and follow up with CAPA's. + Assist in management of workers compensation claims . Assist in the completion and/or review of incident investigations to help coach ... this position. + Performs other duties as assigned by Manager . **Qualifications:** The requirements listed below are representative of...original thinking and creativity. + Experience in EHS and claims management a plus. + Degree in or working… more
- CVS Health (Richmond, VA)
- …analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory & ... for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand business processes and translate them into… more
- Thermo King Northeast (Randolph, MA)
- …or replace each damaged item. + Reviews repair cost estimates with body shop manager or foreman. + Estimates cost of repainting, converting to special purposes, or ... Ensure accurate and timely submission of all documentation to facilitate the claims process, resolving discrepancies or disputes with insurance adjusters. + Manage… more
- City of Norfolk, Virginia (Norfolk, VA)
- …will involve civil litigation, personal injury and property damage claims , administrative proceedings, worker's compensation matters, and transactional matters. The ... appeals of City criminal (misdemeanor) cases. Maintains claim and litigation records concerning all claims and suits filed against the City or by the City in federal… more
- Baylor Scott & White Health (Dallas, TX)
- …and equipment maintenance and repairs, as needed and in conjunction with the Manager or Supervisor. + Performs quality assurance audits. + Orders supplies as ... patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough understanding of the… more
- Baylor Scott & White Health (Temple, TX)
- …representatives by telephone or through correspondence to check the status of claims , obtain insurance information, check on interim billings, and counsel patients ... representatives by telephone or through correspondence to check the status of claims , obtain insurance information, check on interim billings, and counsel patients… more
- HNTB (Charlotte, NC)
- …RFP development to aid in pursuit development. + Provides schedule support for claims analysis (eg, using contractor claims , delay cost estimates, time impacts, ... sequencing into the schedule. + Leads the planning effort alongside Project Manager , collaborates and makes recommendations to project management team in planning… more
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