- Bon Secours Mercy Health (Cincinnati, OH)
- …Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors ... periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality control reviews, internal… more
- Two95 International Inc. (New York, NY)
- …research preferred (but not required) * 10+ years of experience in healthcare data analysis (including EMR/EHR, claims , eligibility and publicly available ... will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the analyses… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as a Case Manager SME? At HCA Healthcare , you come first. HCA Healthcare has committed up to $300 million in programs ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on… more
- Molina Healthcare (IA)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
- Onsight Healthcare - Healthcare Hospitality Group (New Orleans, LA)
- …Job Shift Any Job Category Site Manager Description Transportation Site Manager Onsight Healthcare has been contracted to support a new confidential client in the ... individual with a tenacious work ethic and compassionate personality? Onsight Healthcare is seeking an experienced, hands-on manager and people-leader to join… more
- HCA Healthcare (Aurora, CO)
- …on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny ... of all US hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Director of...of Trustees. Include the patient's story of harm. Risk Management/ Claims Activities (if not otherwise assigned) + Work with… more
- Advocates (Framingham, MA)
- … claims through phone and written communication with employees, supervisors, healthcare providers, and other stakeholders. + Adjudicate claims in accordance ... key member of the Benefits Team and is responsible for managing employee leave claims , including FMLA, state Paid Family Leave (PFL), ADA, and other leave programs.… more
- Molina Healthcare (Dayton, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as a Senior Labor Counsel? At HCA Healthcare , you come first. HCA Healthcare has committed up to $300 million in ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...related to existing and potential traditional labor law related claims and issues in the corporate office and the… more
- Molina Healthcare (NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more