- Presbyterian Homes and Services (Roseville, MN)
- …the appropriate payer. + Bill all Skilled Nursing charges timely and correctly. Audit all assigned accounts to assure appropriate charges for all services delivered. ... Provide timely follow up with insurance companies on unpaid claims . + Provide timely follow up with residents on...preferred. + Two (2) to Three (3) years of healthcare billing experience required. + Skilled Nursing billing experience… more
- GuideOne Insurance (West Des Moines, IA)
- …or Hugging Face to summarize, interpret, and flag anomalies in claims and underwriting documents. + Implement retrieval-augmented generation (RAG) using Vector ... + Implement Responsible AI practices: bias detection, explainability, and audit trails. + Ensure HIPAA, and SOC2 compliance in...Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off… more
- DoorDash (New York, NY)
- …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The successful… more
- Providence (Burbank, CA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, processes and ... Experience in health care or pharmacy billing, collections or medical claims processing. **Preferred qualifications:** + Bachelor's Degree in Business, Healthcare… more
- DoorDash (Tempe, AZ)
- …of DoorDash operations through adjudication of background checks and insurance claims , investigation of safety incidents, and implementation of quality measures for ... on August 21, 2023. Please see the independent bias audit report covering our use of Covey here (https://getcovey.com/nyc-local-law-144) .… more
- Ankura (Los Angeles, CA)
- …understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access regulatory ... least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred, but not required +… more
- Queen's Health System (Honolulu, HI)
- …of compliance with 340B Program guidelines, including accounting and proper audit controls and guidance on implementation of controls using principals recommended ... business, health care or related field; or four (4) years experience in healthcare , business or finance may be substituted for the educational requirement. B.… more
- Geisinger (Danville, PA)
- …reimbursement or recovery recommendations based on PI team's review of claims for appropriate coding, billed statistics, policies, industry standards and compliance ... for Key Performance Indicators including claim edit and claim audit savings, dollars at risk, overpayment recoveries, referrals, as...patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The successful… more
- St. Luke's University Health Network (Allentown, PA)
- …medical record documentation for completeness and accuracy to support billed claims . + Generate provider reports through billing software. + Coordinates, schedules, ... of professional services. + Assists in maintaining the FY audit plan and accurate accounting of time allocated to...required. TRAINING AND EXPERIENCE: At least 2 years of healthcare experience with background and competency in coding and… more