- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return...and reports to shoreside leadership. + Work with Seafarer Medical Supervisor to have crew members enrolled… more
- Nuvance Health (Danbury, CT)
- …and accounts receivable functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ... ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims , payments, rejections, refunds, credit balances and unapplied cash on a daily basis… more
- NJM Insurance (Trenton, NJ)
- Reporting to the QC Supervisor , the Quality Control & Compliance Associate is responsible and accountable for conducting complete and thorough reviews of medical ... process audits to support the department. This role also supports the QC Supervisor in completing compliance checklist reviews for both PIP and Workers' Compensation… more
- System One (Pittsburgh, PA)
- …- $22 hourly Position Title: Benefit Coordinator - Leaves Reports To: Supervisor - Benefits Position Summary Responsible for the daily administration, support and ... Benefits, primarily in the following areas: leave of absence and disability claims , FMLA procedures and records maintenance, compliance and communication of state… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...management is defined as providing support to the immediate supervisor or manager in various areas by overseeing facilities,… more
- AUI Partners (TX)
- …+ Use independent judgment in achieving assigned objectives. + Assist the Safety Supervisor /Safety Team on Worker Compensation claims and other claims ... and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety… more
- Guidehouse (Birmingham, AL)
- …from payers by timely submitting all information needed to complete claims processing. The Central Denials Account Representative conducts thorough account reviews ... Electronic Files + 835 Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls to Insurance Companies to resolve claim denials and… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... may be required to submit documentation from a qualified medical provider or other qualified professional to support your...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- State of Montana (Helena, MT)
- …Medicaid and Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring ... this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology...of Montana. Specific conditions will be provided by the supervisor and must adhere to state policy. This position… more
- Owens & Minor (Downers Grove, IL)
- …and results + Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals ... our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working...audit purposes for completeness and accuracy. + Report to supervisor any apparent issues and coordinate submission of all… more