- Aspirus Ironwood Hospital (Antigo, WI)
- …safety program designed to reduce incidence of harm in healthcare settings and claims against Aspirus. Acts as a resource for Aspirus Quality Partners. Collects, ... patient safety, medical error reduction, potential and actual liabilities and claims . Accountable for operationalizing strategies to reduce risk/improve safety by… more
- Sedgwick (Cedar Rapids, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Consultant **PRIMARY PURPOSE** **:** To lead the business analysis efforts ... for data accuracy. + Maintain and verify client parameters in the claims management system; research and resolve issues. + Communicate process and procedural… more
- Robert Half Management Resources (Jacksonville, FL)
- …closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a ... billing operations, ensuring timely and accurate processing. * Handle medical claims by reviewing, validating, and resolving discrepancies. * Collaborate with team… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …requirements. . Support gap analysis for existing payer systems ( claims , clinical data, provider, member, authorization) to determine interoperability readiness. ... . Ensure solutions integrate effectively with enterprise systems such as claims adjudication, enrollment, provider management, UM/PA, care management, and data… more
- Sedgwick (Lexington, KY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …and analyzing various data types (eg, patient longitudinal data, claims data, distribution, sales, demand, units, promotion, formulary) **Educational ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Cognizant (Phoenix, AZ)
- …of experience to join our dynamic team. Your expertise in Medicare and Medicaid Claims will be crucial in ensuring efficient processing and management of claims . ... meet business needs. * Provide technical expertise in the Medicare and Medicaid Claims , Claims , and Payer domains. - Collaborate with cross-functional teams to… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more
- Prime Healthcare (Lynwood, CA)
- …Coordinator is responsible for gathering, reviewing, and approving internal billing claims ; setup, verification and updating insurance account information; ... preparing related billing claims data reports; coordinates Medical billing claims submission via electronic data interface (EDI); functions as liaison with LA… more