- BrightSpring Health Services (St. Louis, MO)
- …achieve an enhanced quality of life + Follow agency procedures to promote optimum health care and behavioral supports to maintain the well being of person(s) served ... personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... a customer service role with financial responsibilities is required. Experience in health care, insurance, or managed care industries is highly preferred. Experience… more
- TEKsystems (West Lake Hills, TX)
- …data scientists, and legal consultants to shape the future of medical claims review and healthcare resource optimization. Job Responsibilities: * Analyze healthcare ... * Collaborate on the design of predictive tools for claims review and risk stratification. * Prepare reports and...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Nuvance Health (Danbury, CT)
- …force in optimizing patient care and resource utilization across Nuvance Health . This leader is responsible for providing strategic leadership and operational ... This leader empowers denials/appeals specialists to meticulously investigate denied claims , prepare comprehensive appeals, and collaborate with clinical staff to… more
- UCLA Health (Los Angeles, CA)
- Description Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. ... You can do all this and more at UCLA Health . You will leverage your extensive theoretical revenue cycle...government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system +… more
- Actalent (West Des Moines, IA)
- …CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client contracts and plan documentation. This includes determining ... accurate payment criteria for pending claims , auditing and pricing a wide variety of claim...for this position is $75000.00 - $100000.00/yr. Insurance Coverage: Health , dental, vision, disability, and life insurance plans.Retirement Savings:… more
- Adecco US, Inc. (San Juan, PR)
- …Horizontes is a dedicated practice specializing in Social Security Disability claims . Our mission is to provide compassionate, expert assistance to individuals ... and support our clients through every step of the claims process. Candidates should have a strong understanding of...worked in one day * Comprehensive benefits to include health insurance, dental insurance, LTD * Paid time off… more
- Sedgwick (Miami, FL)
- …Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy ... holders, insurers, brokers, and service providers to investigate and report on claims , whilst building and maintaining client relationships. As a member of the… more
- AIG (Wilton, CT)
- Reinsurance Specialist This role is responsible for managing reinsurance claims and collections within Reinsurance Finance and reports to the Head of Reinsurance ... Claims and Collections. The individual should have solid claim...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- Sedgwick (Southfield, MI)
- …+ Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and/or strategic planning. + ... for members and trainings, and coordinates with pool administrator on cases, claims , and messaging. + Oversees the pool's liability program. + Represents the… more