- Sedgwick (Indianapolis, IN)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- The County of Los Angeles (Los Angeles, CA)
- …operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. + ... Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance sheets,… more
- Aston Carter (Durham, NC)
- …interpretation, invoicing, reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information. + Support the ... preparation of invoicing and financial claims expense forecasts. + Support the preparation of financials...+ Assist with the compilation of data for internal/external audit + Process a variety of client transactions that… more
- Chenega Corporation (Claremore, OK)
- …preparation, submission, and payment processes of purchase orders for services rendered. + Audit claims processed for third party resources and proper coding. + ... Solutions, LLC,** a **Chenega Professional Services** ' company, is looking for 3 ** Medical Assistants** in support of Indian Health Services in Claremore, OK. The… more
- Covenant Health Inc. (Knoxville, TN)
- …reports every morning. + Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims ... approves all orders for tracking purposes and route to Medical Records to be sent for physician signature. Ensures...Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt… more
- Sharp HealthCare (San Diego, CA)
- …investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- …This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers participating in the TennCare ... Office of the Tennessee Comptroller of the Treasury is responsible for the audit of state and local governmental entities and participates in the general financial… more
- Robert Half Finance & Accounting (Cheektowaga, NY)
- Description Jenny Bour with Robert Half is seeking an experienced Medical Billing Manager to lead and oversee the medical billing operations for a growing ... non-profit organization. This Medical Billing Manager role is responsible for managing the...of the billing process, including charge entry, payment posting, claims submission, follow-ups, patient statements, and collections. + Monitor… more
- Highmark Health (Oklahoma City, OK)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more