- Elevance Health (Denver, CO)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- MyFlorida (Tallahassee, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Fort Lauderdale, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Orlando, FL)
- …This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs ... applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...data from State Wage Reporting, Department of Corrections, Unemployment Insurance and Child Support Greater than Cash Assistance Grant… more
- Zurich NA (Pasadena, CA)
- …and Adobe + Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- …Investigator + Meeting Facilitator/Coordinator + Clerical Support + Technology Transfer (T2) Specialist + Data Analyst + Sr. Writer/Editor + Jr. Writer/Editor + Sr. ... Engineer + Sr. Technical Specialist + Jr. Technical Specialist Bowhead seeks...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Alexandria, VA)
- …Analyst - Journeyman + Financial Business Analyst - Senior + Helpdesk Specialist + Information System Security Officer - Journeyman + Information System Security ... Engineer + Lead Legacy System Engineer + IT Training Specialist - Master + IT Training Specialist ...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Robert Half Accountemps (Houston, TX)
- …verification, resolving claim discrepancies, and guaranteeing the timely submission of clean claims to insurance companies. This is a fast-paced role that ... Our client is seeking a highly motivated and detail-oriented Eligibility Specialist for a remote, contract-to-hire position. The Eligibility Specialist … more
- Avera (Mitchell, SD)
- …Communicate coding updates and changes to appropriate individuals. + Coordinate and/or complete insurance appeals on denied claims due to coding issues. + Assist ... payor contracts and pursuit of appropriate reimbursement on all claims . + Investigate and report on all current reimbursement...to resolve them and their remittances. + Review all insurance bulletins and refers information to other personnel as… more