- Helio Health Inc. (Syracuse, NY)
- …mission of Helio Health, the Manager of Revenue Cycle Management (RCM) and Medical Records is responsible for utilizing agency resources to maximize revenue while ... compliance with all federal and state regulations. The Manager of RCM and Medical Records is responsible for the interpretation of patient insurance coverage and… more
- Tucson Electric Power (Tucson, AZ)
- …Manages Short-Term and Long-Term Disability (STD/LTD) programs and vendor relationships; ensures STD claims are coordinated with FMLA or general medical cases. o ... **leave programs** , including: o Manages all administrative aspects of leave claims to include tracking hours used/taken and working closely with Human Resources… more
- Terumo Medical Corporation (Somerset, NJ)
- …08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...covering areas, such as reporting o Work with internal audit to establish internal control documentation and recommending testing… more
- Sharp HealthCare (San Diego, CA)
- …of the requested service. This position is responsible for conducting retrospective claims review for services to determine the medical appropriateness of ... plan coverage criteria, etc. + Retrospective Review Coordinate, review, and process retrospective claims for medical care and services including, but not limited… more
- Western Washington University (Bellingham, WA)
- …+ Reviews claims denials and rejections pertaining to coding and medical necessity issues, and when necessary, implements corrective action plan to prevent ... insurance company contracts and regulations. + Ensures compliance and completeness of claims for electronic submission. + Ensures proper billing by State and Federal… more
- CenterLight Health System (NY)
- …+ Coordinate with healthcare providers, practice managers, and coders to submit claims appropriately and timely. + Audit billing and collection procedures ... its associated entities including C2Q Health Solutions, and Team Care Medical ) billing and revenue maximization activities, including analysis, reconciliation, and… more
- Citigroup (Getzville, NY)
- …entries + Manage his/her aging and claim portfolio + Maintain up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Amazon (New York, NY)
- …- Bachelor's degree - 5+ years of program management experience in insurance and claims programs - 10+ years of compliance audit or Risk Management experience ... Description The Corp Auto Claims Management & Operations group within Amazon's Global...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …healthcare laws, regulations and guidance (such as the Anti-Kickback Statute, False Claims Act, OIG Guidance for Pharmaceutical Manufacturers, PhRMA Code, FDCA and ... trials, publications, and pricing agreements. Perform steps in the audit process including interviewing stakeholders, testing controls, communicating findings to… more
- Terumo Medical Corporation (Somerset, NJ)
- …2025 Req ID: 4443 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics **Job Summary** The Contract Analyst is ... responsible for administering specific assigned stages of the Terumo Medical Corporation (TMC) Sales Contract Lifecycle that may include...and ensure timely posting to the Finance team. 5. Audit of the Administrative Fees and Incentive Rebates to… more