- The County of Los Angeles (Los Angeles, CA)
- …Submitting your DD214 promptly helps ensure smooth and timely processing . Special Requirement Information: *Supervisory experience includes responsibility for ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- WMCHealth (Kingston, NY)
- …(https://pm.healthcaresource.com/cs/wmc1/#/preApply/29991) Internal Applicant link Job Details: Coordinates the orderly processing of all third party claims in ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- Two95 International Inc. (Omaha, NE)
- …- Good SQL skills. * Knowledge of healthcare insurance industry including Enrollment, Billing, Claims Processing , EDI required. * Candidate has to explain the ... medical insurance business processes outlined below and also have...Insurance processes such as: Providers processes, Enrollment processes & Claims * Regression test scenarios design and creation creation… more
- Catholic Health Initiatives (Omaha, NE)
- …and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing ... based on EOBs, reimbursement, and payer specific requirements. + Review patient medical record to compare documentation and coding; change coding based on… more
- Pilgrim's (Sumter, SC)
- …Health Nurse(s) in a way that builds a team atmosphere within the safety and medical areas of the site. Spend time being visible in the processing plant ... program by attending regularly scheduled meetings, providing supporting documentation for claims in litigation, and assist the Occupational Health Nurse/Third Party… more
- CVS Health (Trenton, NJ)
- …levels + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing , Provider Appeals & Disputes and Network Performance ... network strategic plans to achieve value-based contracting targets and manage medical costs through effective value-based contracting to meet state contract and… more
- University of Southern California (Los Angeles, CA)
- …in managed health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing ... plan administration, oversight of operations and strategy of wellness and medical management programs, manage health plan member services and in collaboration… more
- The County of Los Angeles (Los Angeles, CA)
- …of the court. + Identifying and cataloguing birds, mammals and fossils. + Processing writs and judgments; filing legal documents; documenting and entering results of ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- Henry Ford Health System (Jackson, MI)
- …data management, ensuring providers meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, ... obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits… more
- The County of Los Angeles (Los Angeles, CA)
- …notice. EXAM NUMBER: V0034N TEMPORARY, SEASONAL EMPLOYEES: Can qualify for County Medical Plan, Pension Savings Plan for part-time, temporary, seasonal employees. NO ... a personal computer, an iPad, a camera, and word processing software in order to document all work performed,...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
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