- Johns Hopkins University (Middle River, MD)
- …III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications and ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials and… more
- American Family Insurance - Corporate (Boston, MA)
- You will work in the field and report to the Property Claim Manager and handle homeowner property field claims typically within the state of Massachusetts. You ... is offered for eligible candidates._ *Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys,… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING HEALTH FACILITIES EVALUATOR, NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2767502) Apply SUPERVISING HEALTH ... Job Type Full time Job Number PH5709C Department PUBLIC HEALTH Opening Date 09/03/2020 + Description + Benefits +...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- NANA Regional Corporation (Herndon, VA)
- … (CHMM)** - IHMM Institute of Hazardous Materials Management. + **Certified Safety and Health Manager (CSHM)** - Institute for Safety and Health Management. ... compensation claims . + Educating and training employees on environmental health and safety protocols. + Setting organizational safety and environmental policies… more
- Trinity Health (Livonia, MI)
- …and financial performance. This position reports directly to the Manager Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and...accounts at an assigned PBS location. Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s).… more
- Molina Healthcare (Provo, UT)
- …or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of ... who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Defense Threat Reduction Agency (Fort Belvoir, VA)
- …been approved by PTDO USD(P&R), 07/23/2025 (Request ID 2920) Responsibilities As a HEALTH PHYSICIST at the GS-1306-14 some of your typical work assignments may ... policies to safely and effectively accomplish DTRA missions. Develop and implement health physics and radiological control policies to assure safe and healthy work… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST II Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full-Time/Part-Time Education Level High School ... on a daily basis for denials and short paid claims . + Reviews and processes all Explanation of Benefits...communicates such information in a timely manner to their manager for escalation. + Maintains familiarity with the Institute… more
- Whitney Young Health Center (Albany, NY)
- …Apply Description GENERAL RESPONSIBILITIES: The Pharmacy Technician at Whitney Young Health (WYH), under the supervision of a licensed pharmacist, will perform ... non-dispensing functions to include medication management support, medication reviews, health literacy assessments, and educational activities. The primary purpose… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Workers' Compensation Analyst and department manager , you will manage workers' compensation claims by supporting employees ... treatment progress, recommending medical treatment interventions to the third-party claims examiner, and ensuring compliance with applicable workers' compensation… more