- AON (Atlanta, GA)
- …language; Project Insurance Manual; Project Safety Standards; Project reports, eg Monthly/Quarterly/ Claims ; Stewardship Report; and Fee and premium invoices. + Acts ... evaluate program progress and issues. + Reviews periodic program claims reports and participates in periodic claims ...firm providing advice and solutions in Risk, Retirement and Health at a time when those topics have never… more
- Unilever (El Segundo, CA)
- …knowledge of regulatory requirements to make substantiated label and marketing claims , is extremely detail- and solution oriented, has excellent communication skills ... The RA Manager will serve as the Company's operational expert on claims review, providing direction and insights to appropriate internal stakeholders on the… more
- Molina Healthcare (Dayton, OH)
- …business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational ... initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice… more
- Avera (Sioux Falls, SD)
- …part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.** **A Brief Overview** ... and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative...PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera… more
- Providence (Irvine, CA)
- …valued, strategic, and practical legal advice and support for Providence St. Joseph Health ("Providence") in a wide range of diverse litigation and dispute matters, ... and case strategy. This role works closely with Risk Management, Compliance, Claims , and operational leaders to protect the organization's interests while advancing… more
- Health Care Service Corporation (Nashville, TN)
- …business analysis, process improvement, project management, business operations or relevant health care industry experience * 3 years of experience leading with ... + . Provider Credentialing - sCRED application + . Claims Intake process + . Claims Adjudication...* Agile tool such as Jira/Rally * SQL * Health insurance or healthcare industry experience with emphasis on… more
- Health Care Service Corporation (Chicago, IL)
- …impact for our customers and members. At the largest customer-owned and not-for-profit health insurer and fourth largest health insurer overall in the United ... (or thematic units) within AI Solutions, with topics that include Claims and Payment Integrity, Member Engagement, Utilization Management, Document Intelligence,… more
- Health Advocates Network (Rensselaer, NY)
- Health Advocates Network is currently seeking a **Receptionists/Secretaries** to work at a facility in **Rensselaer, NY.** These are _registry_ positions with our ... not limited to: preparing monthly bureau activity reports; reviewing vendor claims for fiscal and programmatic correctness, adherence to state policy, compatibility… more
- Health Advocates Network (Albany, NY)
- Health Advocates Network is currently seeking a **Accountant 1** to work at a facility in **Albany, NY.** These are _registry_ positions with our company. **Pay ... Work with agency fiscal staff and providers as necessary to resolve discrepancies in claims ; * Identify problem areas and trends and develop solutions; * Assist in… more
- Northwell Health (Lake Success, NY)
- …accounts for hospital and clinical facilities. Daily duties include processing claims , collecting payments, resolving denials and other problems, attending to ... Job Responsibility + Assists and guides the processing and managing of physician claims . + Oversees the collection of payments from physicians for processing. +… more