- Sedgwick (Concord, NH)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... + We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- Walmart (Douglas, GA)
- …awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical , vision and dental coverage. Financial benefits include ... Security** Possesses knowledge of: Asset protection policies, practices, and guidelines; environmental, health , and safety laws and regulations. Be able to carry out… more
- The County of Los Angeles (Los Angeles, CA)
- …as transmittal letters, letters regarding extensions, notifications of depositions, agreed medical examiner letters, and appointment verifications. + Contacts ... vital public services as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. What does… more
- New York State Civil Service (New York, NY)
- …industry and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the position ... to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons,… more
- Molina Healthcare (NE)
- …Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and...Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you… more
- City of New York (New York, NY)
- …of Health and Mental Hygiene (DOHMH) and the Office of the Chief Medical Examiner . The unit processes over 2,000 invoices a month which are received ... Duties and Responsibilities: - Perform internal audits, examination of expenditure claims to determine eligibility of costs reported. - Prepare claim verification… more
- New York State Civil Service (Syracuse, NY)
- …industry and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the position ... to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons,… more
- MyFlorida (Daytona Beach, FL)
- … record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being ... nurses. + Maintain contact with the Veteran's Service Officers at the VA Medical Centers, County Veterans Service Officers, local, federal and other state agencies… more