- Premera Blue Cross (Spokane, WA)
- …on self-funding cases. + Use judgment (with appropriate level of peer/ manager review) to evaluate system-generated rate calculations for reasonability of the ... the rating and underwriting process, including but not limited to systems, claims reporting, and reporting databases. + Under direction and approval by management,… more
- Raymond James Financial, Inc. (Memphis, TN)
- …own work adheres to those standards. Obtain authorization from a supervisor or manager for any exceptions from mandatory procedure. + Develop own capabilities by ... and how they impact clients and the firm + Claims , 180 Liability Notices, and transformations + Foreign currency...Uses an understanding of numerical concepts to perform mathematical operations such as report analysis with guidance (but not… more
- City of Minneapolis (Minneapolis, MN)
- …and plan for key departures in order to provide knowledge transfer. Human Resource Operations + Serve as a liaison to all other divisions within Human Resources for ... inquiries, including but not limited civil right and EEOC claims , etc. + Participate/Represent HR on City or departmental...consideration. This list will be certified to the hiring manager who may use the list to fill a… more
- Beth Israel Lahey Health (Westwood, MA)
- …with non-clinical inquiries. Resolves and ensures proper adjudication of claims . Confirm patient benefits with insurance and determine required authorizations ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Beth Israel Lahey Health (Boston, MA)
- …Pharmacy. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. Ability to develop ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . **Written Communications:** Ability to communicate clearly and effectively… more
- Beth Israel Lahey Health (Boston, MA)
- …Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. 5. Ability to ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …JOB SUMMARY AND PURPOSE Under the supervision of the CQI Business Insights Manager , the Billing and Records Supervisor leads the Billing and Records team in ... Records team. DUTIES AND RESPONSIBILITIES + Review all billing claims . + Oversee billing rejections from funders to ensure...3 years of experience in Electronic Health Record database operations and/or billing submissions. + 3 years of experience… more
- Air National Guard Units (Langley AFB, VA)
- …Education and Training Section, serves as wing/group technical advisor and functional manager for all education and training matters. Provides education and training ... training objectives and measurement devices. Plans, directs, organizes, and coordinates operations of multimedia education and training programs. Serves as test… more
- Centuri Group, Inc. (Lawrence, MA)
- …critical utility and energy infrastructure. Under the direction of the HR Manager , the Human Resources Business Partner delivers comprehensive HR services and ... effective and timely human resources support + Partner with Operations to source and select candidates for current and...and return to work activity + Assist with unemployment claims + Assist employees with benefits questions + Perform… more
- Army National Guard Units (Baltimore, MD)
- …for equipment fielding with Headquarters, Department of Army (HQDA), ARNG, Program Manager (PM), other DA agencies, State area Command staff and subordinate units. ... out specific programs, evaluating and recommending changes in methods of operations . Experience in supervisory, staff or technical work which included study,… more
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