- Sherman Associates, Inc. (St. Pete Beach, FL)
- …hotel located in St. Pete Beach, FL, is seeking an experienced Night Audit . With stunning views overlooking the Intercoastal Waterway and Gulf of Mexico, the ... We are currently seeking a part-time and full-time night audit to join our team! Essential Functions + Registers...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- CRC Insurance Services, Inc. (Napa, CA)
- …requests and certificates. 3. Underwrite CRC products and services to clients. 4. Audit , correct, and verify all necessary information prior to policy issuance. 5. ... and follow-up for receipt of policies, endorsement information, inspections, correspondence, claims , etc. from outside sources. 15. Conduct ratings as necessary to… more
- LogixHealth (Bedford, MA)
- …issues and appeal if necessary, using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits and ... experience Benefits at LogixHealth: We offer a comprehensive benefits package including health , dental and vision, 401(k), PTO, paid holidays, life and disability… more
- Citizens (Wilmington, DE)
- …of Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in Risk Management, ... Audit , or Compliance + Prior experience implementing and supporting...status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or… more
- Elevance Health (Norfolk, VA)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for ... appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an...you will make an impact:** + Analyzes and audits claims by integrating advanced or convoluted medical chart coding… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Coordinates with appropriate parties the complete/partial payment or repayment of the claims , as described in the Audit Policy, as findings are identified ... Integrity-Operations Full time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's top-performing healthcare… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to ... of training. In person meetings required, as needed Covenant Health Overview: Covenant Health is the region's...parties the complete/ partial payment or repayment of the claims , as described in the Audit Policy,… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience (must have): * 5+ years in healthcare compliance, regulatory affairs, or claims audit . * Experience working with TPA partners (eg, Cognizant) and ... 011250 CCA- Claims Position Summary: Reporting to the Director, ...identify areas of risk or non-compliance. * Track internal audit findings and facilitate resolution through Corrective Action Plans… more
- PRGX (Grand Rapids, MI)
- … audit and analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate ... annual cash flow, unlocking value and improving the overall health of organizations across the world. We collaborate with...audit concepts for writing claims , updating claims management… more
- Elevance Health (Indianapolis, IN)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more