- Rady Children's Hospital San Diego (San Diego, CA)
- …Include: Answering calls from provider offices and members of the medical group Performing PCP assignment updates Providing or scheduling translation services ... payment status Any other questions they may have Skills Required: Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or … more
- Haleon (Warren, NJ)
- …external. Provides leadership to cross-functional teams, such as product development, medical , legal and marketing, as well as in regulatory. **Role ... quality, local regulations). + Support the development of the strongest claims and promotion possible within the regulations, ensuring risks are appropriately… more
- Vaco by Highspring (Sacramento, CA)
- …quarterly property inspections and maintain records.Document and process insurance claims .Track utilities and ensure timely payment.Assist with tenant chargebacks, ... individual may also be eligible for discretionary bonuses, and can participate in medical , dental, and vision benefits as well as the company's 401(k) retirement… more
- Vaco by Highspring (East Hanover, NJ)
- …Reports.Monitor portfolio risk, revise DRAs as needed, and react promptly to claims activity or alerts from external sources.Ensure accuracy and coherence of DRAs, ... individual may also be eligible for discretionary bonuses, and can participate in medical , dental, and vision benefits as well as the company's 401(k) retirement… more
- Shimmick (Chattanooga, TN)
- …+ Review contract documents and project scopes to identify potential changes or claims . + Coordinate with field staff, project engineers, schedule engineers and cost ... Interface with legal and commercial teams as needed on claims , disputes, or time impact analyses. + Support monthly...well-being, and financial future. Employees can choose from multiple medical plans, including a $0 premium option, with dental,… more
- Sallie Mae (Newark, DE)
- …investigations, first chair responsibility for litigating employment and related claims , and managing outside counsel in litigation and investigations. Provides ... Litigation and Risk Mitigation (25%) + Litigates employment and consumer-related claims , including the management of outside counsel. First-chair responsibility for… more
- Stanford Health Care (Palo Alto, CA)
- …is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various ... Responding to requests from the payer, such as providing medical records or other documentation either by mail or...and performing appeals as necessary + Electronic or hardcopy claims editing and submission to payers + Recognizing potential… more
- Lundbeck (Deerfield, IL)
- …in development by providing substantive advice to US operations, including Marketing, Medical Affairs and Regulatory Affairs departments, concerning a broad range of ... business, legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine… more
- US Physical Therapy (Houston, TX)
- …expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data ... authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date patient...Bachelor's degree preferred + 1-2 years of experience in medical billing and collections + Knowledge of medical… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …involves auditing, assessing, and analyzing data to ensure that health plan claims , and capitation reimbursement revenue are received in alignment with contractual ... causes of anomalies that may affect revenue + Prepare and file stop-loss claims with reinsurance carriers for high-cost or catastrophic cases + Provide stop-loss… more
