- Independent Health (Buffalo, NY)
- …benefit managers, and other insurance companies to accurately identify Independent Health responsibility for primary claims payment. Technical Proficiency and ... Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems...and departmental savings targets as set by the COB Manager . Monitoring Outgoing Mail + Generate appropriate COB letters… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance ... services requested for the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical… more
- Molina Healthcare (GA)
- …plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible ... + Allocate new report/project requests (workload distribution). + Coordinates with Health Plan departments to meet data analysis and database development needs.… more
- Army National Guard Units (Niantic, CT)
- …plans, implements, coordinates, monitors, and evaluates options and services to meet complex health needs of Soldiers in order to promote health , wellness, and ... systems level to promote smooth transition of Soldiers through the Military health care experience. Seeks resolution for identified problems, through individual or… more
- Bon Secours Mercy Health (Newport News, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and healthy** **w** **orkforces** **? ** _Welcome to_ _Occupational Health Services_ _, the way it should be._ At...work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues +… more
- Walmart (Opelika, AL)
- …functional knowledge of the business unitorganization being supported Employee Health and Safety Possesses knowledge of OSHA guidelines compliance safety ... in OSHA and other regulatory inspections Participates in internal safety or health inspections Ensures that all first aid equipment is operational Ensures that… more
- Centene Corporation (Augusta, GA)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... boarding South Carolina counties. **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities.… more
- Humana (Oklahoma City, OK)
- …strong interpersonal skills. Key Role Objectives + Serve as primary relationship manager with behavioral health providers to ensure positive provider experience ... part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking...claims education) + Experience working with or in health care administration setting + Exceptional relationship management and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the ... . + Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality… more
- Mount Sinai Health System (New York, NY)
- …+ Training in computerized medical billing + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....+ Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. +… more