- Otsuka America Pharmaceutical Inc. (Juneau, AK)
- **Position Summary:** The Director, Health Technology Assessment (HTA) Lead, is responsible for leading the strategic development of HTA submissions. This role ... ensure seamless communication and collaboration for the development of global health economic models (eg, cost-effectiveness, budget impact) to support HTA… more
- Novant Health (NC)
- …Ability to navigate CMS website for NCCI policy/tables, NCD/LCD information, and Medicare Claims Processing Manual. + Extensive knowledge of charging (HCPCS) and ... ICD-10- CM/PCS, CPT or HCPCS codes and the accuracy of assignment for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits will… more
- LA Care Health Plan (Los Angeles, CA)
- …$47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...Reports. In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent… more
- Intermountain Health (Murray, UT)
- …and Coding + Reimbursement + Billing Operations + Medical Billing Software + Insurance claims processing + ICD Coding + Patient Care + Medicare Billing ... The Medical Billing Specialist is responsible for the timely follow-up of claims billed and the resolution of accounts. Oversees the account receivables and… more
- Providence (Burbank, CA)
- …in health care or pharmacy billing, collections or medical claims processing . **Preferred qualifications:** + Bachelor's Degree in Business, Healthcare ... - they're invaluable. Join our team at St. Joseph Health System Home Care Services and thrive in our...hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New… more
- Human Technologies Corporation (Utica, NY)
- Job Description The Environmental Health and Safety Manager supports Human Technologies' mission of Creating Employment for People with Disabilities by ensuring ... * Perform the duties of our Site Safety and Health Officer and create and maintain Accident Prevention Plans...assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to… more
- TEKsystems (West Des Moines, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that… more
- Sedgwick (Southfield, MI)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
- Sedgwick (Columbia, SC)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- UPMC (Pittsburgh, PA)
- …precision and efficiency, contributing to the overall accuracy and integrity of our claims processing operations. This position will work a hybrid structure, ... resolving discrepancies across multiple lines of business for the Health Plan. The ideal candidate will handle a range...+ High school diploma or equivalent. + Two years claims processing experience required. + Ability to… more