- CDM Smith (Raleigh, NC)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- The County of Los Angeles (Los Angeles, CA)
- …Resources Workeris defined as identifies patients' financial resources to pay for medical and/or mental health care and services; and assists patients in making ... assignments for medical benefits and completes standardized billing forms based upon...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Sedgwick (Chicago, IL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- UNC Health Care (Chapel Hill, NC)
- …outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works physician claims ("professional billing"). + Maintains A/R ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . + .Performs all duties in a manner which promotes teamwork and reflects UNC… more
- Molina Healthcare (Richmond County, GA)
- …Research claims appeals using support systems to determine Medicare appeal and claim outcomes. + Requests and reviews medical records, notes, and/or detailed ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...relating to claims payment and requests for claim adjustments or to requests from outside agencies **JOB… more
- Rush University Medical Center (Chicago, IL)
- …to identify claim denials and develop appeal strategies. + Rebilling claims and processing adjustments or refunds as needed. + Maintain patient confidentiality ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: HB Govt… more
- Zelis (St. Petersburg, FL)
- …an advisory role with management of direct reports required. + Advanced competency in medical claim review and payment integrity preferred. + Ability to analyze ... a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical ...ensure savings are maximized and captured timely through proper claim handling. Effective and proven leadership experience is a… more
- Amentum (Washington, DC)
- …a Lead Project Manager, performing the following duties: + Oversee all aspects of Claim Review and Intake team management. + Lead efforts to recruit, retain, and ... and graphs. + Oversee the coordination of Project Supervisors to direct the Claims Review and Intake teams. + Create, format, and refine Standard Operating… more
- Festival Foods (WI)
- …settling motions, pretrial filings and conferences. + Oversee and review vocational reports and medical record reports related to various claims lines. + Act as ... to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports'… more
- Wounded Warrior Project (Colorado Springs, CO)
- …Develop high-quality claims through detailed assessment and prioritization of applicable medical and service evidence documents. Decide on final claim issue ... the office, two days' work from home) . Full medical , dental, and vision coverage for both teammates AND...WWP National Service Officers in the development of warriors' claims . DUTIES & RESPONSIBILITIES + Educate and assist warriors… more