- Marriott (Bethesda, MD)
- …of international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr . Director, Global Claims ... Range:** $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims Operations,… more
- Cardinal Health (San Juan, PR)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles… more
- Ascension Health (Austin, TX)
- …requirements established by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to ... that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes....of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- AutoZone, Inc. (Memphis, TN)
- **Job Description** As a ** Sr . Audit Recovery Auditor** , you will Utilize analytical and forensic email review skills to audit Merchandising negotiations to ... communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone....Senior Focus - Data Responsibilities or 3rd Party Audit Support:** DATA + Assist the Senior … more
- Independent Health (Buffalo, NY)
- …knowledge and audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit in accomplishing all aspects ... statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding… more
- Axis (Chicago, IL)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America Claims .… more
- Walworth County (Elkhorn, WI)
- Senior Accountant - HHS (Finance) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5088010) Apply Senior Accountant - HHS (Finance) ... accordance with accounting guidelines, County policies, State statutes, legal compliance, audit compliance and in supporting County department heads related to… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …professional and ancillary claims . + Minimum 3 years in auditing of claims adjudication. + Working knowledge of medical terminologies and coding a plus ... The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst, who will oversee contract and benefit...will oversee contract and benefit configuration to ensure accurate claims processing and network compliance. This is a remote… more
- CVS Health (Hartford, CT)
- …resulting from audit findings as needed. Communicate status updates with Senior Leadership. Lead annual risk assessment for anti-bribery/ FCPA, AML and sanctions ... each and every day. **Position Summary** We are seeking a Senior Manager experienced with anti-bribery, anti-corruption (ABAC), anti-money laundering (AML) and… more