- Houston Methodist (Houston, TX)
- …and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- Sharp HealthCare (San Diego, CA)
- …Concurrent, Retrospective and Claims Review and Care Management services for Sharp Health Plan members who are identified as having complex health or ... performing effective acute and ambulatory case management, utilization management and claims review activities, to ensure appropriate, cost-effective care to Sharp … more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Doctor of Medicine ... Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral … more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical ... interaction with technology, we tailor solutions to support individual health needs and improve how people engage. Data is...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Essentia Health (Superior, WI)
- …nursing staff, pharmacies, third parties, and software vendors to work through claims adjudication and processing issues to ensure payment from third-party payers ... Medicare rules are followed when processing Medicare B billed claims + Provide direct patient interaction by assisting patients...of experience (CPhT, CMA, etc.) Employee Benefits at Essentia Health : At Essentia Health , we're committed to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Line Directors, Managers, Finance Directors, clinical support staff, Physicians, allied health care providers, hospital colleagues, and others regarding matters that ... appeals, audits, credits, cash, coding, workflows, data collection, report details, claims , and remittance setup, logic and processing, and applicable technical… more
- Sysco (Denver, CO)
- …EHS processes including: EHS-related training, environmental compliance, occupational health and safety, workers' compensation, transportation safety, contractor ... on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims … more
- Walgreens (Salt Lake City, UT)
- …policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, ... to customers inclusive of patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Provides direction to ensure that pharmacy department… more
- Otsuka America Pharmaceutical Inc. (Juneau, AK)
- **Position Summary:** The Director, Health Technology Assessment (HTA) Lead, is responsible for leading the strategic development of HTA submissions. This role ... ensure seamless communication and collaboration for the development of global health economic models (eg, cost-effectiveness, budget impact) to support HTA… more
- American Water (Chattanooga, TN)
- …an American Water employee, you will be offered a competitive salary and health benefits package, along with opportunities to develop, grow, and evolve your career. ... Our benefits packages focus on key areas such as health & wellness, emotional & well-being, and savings for...insurance company or independent counsel with regard to litigated claims . _ *Key Accountabilities (cont'd)*_ * Prepare or oversee… more