- Kelly Services (Los Angeles, CA)
- …is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability). l Prior insurance , legal or ... Coast/Pacific region. l The successful applicant will be handling claims from California. l The position will report and...and taking statements as necessary, with insured, claimant and medical providers. l Evaluates the facts gathered through the… more
- South County Hospital (Wakefield, RI)
- …patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the risk and feedback software reporting systems. + ... staff and legal counsel. + Serve as liaison with insurance carriers, claims representatives, and legal counsel....Respond to DOH licensing board requests and subpoenas (eg, medical and nursing). + Ensure hospital compliance with HIPAA… more
- Humana (San Juan, PR)
- …maintains compliance with regulatory requirements, and supports operational efficiency in claims management. The Medical Coding Coordinator 3 performs advanced ... a part of our caring community and help us put health first** The Medical Coding Coordinator 3 reviews clinical information from medical records and assigns… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the… more
- ConvaTec (Massapequa, NY)
- …completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits ... **About Convatec** **Pioneering trusted medical solutions to improve the lives we touch:**... claims . + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in … more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: RUSH Legal Affairs **Work ... overseeing the administrative functions of Rush Legal, Office of Risk and Claims management and ensuring coordination of other administrative tasks across all… more
- Legacy Treatment Services (Hainesport, NJ)
- …Remote work 2 days per week + 3.2 weeks of PTO in first year + Medical , vision, dental & life insurance benefits + 403(b) employee participation and employer ... with the billing department to ensure accurate and timely claims processing and with client access department for patients...School Diploma or equivalent + Experience: Prior experience in insurance verification, medical billing, or a similar… more
- Centene Corporation (Helena, MT)
- …to ensure compliance with coding practices through a comprehensive review and analysis of medical claims , medical records, claims history, state ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- UIC Government Services and the Bowhead Family of Companies (Camp Pendleton, CA)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... **Overview** Emergency Medical Technician: (AVTBTSS-2025-24216): Bowhead seeks a part time,...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- The Cigna Group (Bloomfield, CT)
- … medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, ... ** Medical Principal Job Description** **Position scope:** Primarily regional...management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for… more