- Cadence Education (Scottsdale, AZ)
- …Wallet + 50% childcare tuition discount + 401(k) with employer match + Comprehensive medical , dental, and vision plans + Paid time off (increases with seniority) + ... and staff experience levels. 3. Review and validate monthly meal reimbursement claims to ensure accuracy and compliance with program guidelines. Work with centers… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a Home… more
- Transdev (Lombard, IL)
- …and 4 floating - Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term disability. ... Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- St. Luke's University Health Network (Allentown, PA)
- …to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... codes reported. JOB DUTIES AND RESPONSIBILITIES: ESSENTIAL FUNCTIONS: Conduct retrospective medical record reviews for diagnosis and procedure code assignment and… more
- Molina Healthcare (GA)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- University of Colorado (Aurora, CO)
- …& Accounting Assistant Director** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: Finance & ... Supports 340B Pharmacy compliance by providing fiscal analysis and participating in audit processes. + Attends FQHC finance-related meetings to ensure awareness of… more
- Houston Methodist (Houston, TX)
- …with Clinical Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the ... clinical trial protocols, study budgets, coverage analyses, etc. - Performs detailed claims testing and medical review. - Reviews Medicare Coverage Analysis… more
- LA Care Health Plan (Los Angeles, CA)
- …within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to ... claims or member services any file that is a...member information. Creating secure, complete, files. Interface with members, medical personnel and other internal and external agencies; ensure… more
- City of Carlsbad (Carlsbad, CA)
- …+ Overseeing the DOT program and compliance (coordinating drug testing, DOT audit and medical certification) + Reviewing, developing, and implementing the ... assessments and making recommendations related to ergonomic evaluations + Coordinating medical exams and tracking exam results + Implementing the city's respiratory… more