- Northern Light Health (Portland, ME)
- …of all hospital departments and for overseeing the ongoing education of hospital and medical personnel related to risk prevention and claims management. The Risk ... a liaison to medical malpractice insurers and manages patient safety related claims or potential claims . + Will participate in patient safety initiatives… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …understanding precedents & opportunities. + Ability to assimilate key clinical, scientific, and medical information and present it in a concise manner. + Ability to ... of benefit/risk profile. + Ensure that deliverables are met, and labeling claims are consistent across programs. + Develop and implement strategies to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): * Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P5036A-R Department MEDICAL EXAMINER Opening Date 12/15/2025 Closing Date Continuous + Description + Benefits + ... unexpectedly once we have enough qualified candidates. ABOUT THE MEDICAL EXAMINER: TheDepartment of Medical Examiner (https://me.lacounty.gov/) investigates… more
- Amentum (Washington, DC)
- …Expected duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more
- Sedgwick (Orlando, FL)
- …class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...clean claim submission. This position is responsible for pulling medical records to submit with claims and… more
- CVS Health (Cumberland, RI)
- …Lead Coordinator is responsible for ensuring the timely and accurate processing of payer enrollment applications, including initial submissions and revalidations for ... by maintaining quality control over individual enrollment applications and resolving claims issues within the corporate billing system. This role maintains… more
- Caterpillar, Inc. (Peoria, IL)
- …**Good Caterpillar Aftermarket understanding.** **Top Candidates Will Have:** **Experience in claims processing and/or auditing.** **Proven expertise in Sales ... role, you will be responsible for reviewing and approving claims and programs in the ADSD-N region. Your daily...total rewards package that provides benefits on day one ( medical , dental, vision, RX, and 401K) along with the… more
- Pacific Seafood (Kodiak, AK)
- …Incident Management and Emergency Response: + Perform on-site workers' compensation claims management, including investigation and medical follow-up. + Maintain ... Pacific Seafood's EHS Programs. This includes managing on-the-job injury claims and documentation, facilitating orientations and training, conducting facility… more