- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer ... all information requests from those payers, and trace all claims to those payers making sure they have been...your family in staying well, growing professionally, and achieving financial security. We take care of you, so you… more
- CACI International (Washington, DC)
- …for the VCF staff on policies and processes that cover the full end-to-end claims lifecycle. The Training Specialist will be an articulate and highly motivated ... Sr . User Trainer Job Category: Training Time Type:...systems that support the 9/11 victims' injury and loss claims . The VCF Transformation Project will result in the… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical ... Coding Sr . Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration… more
- Zurich NA (Maitland, FL)
- … II (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join our dynamic and ... is an exciting opportunity to manage complex, multi-party commercial Workers' Compensation claims with moderate to high exposure and make a meaningful impact through… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** -… more
- Cognizant (Owings Mills, MD)
- …role involves working in a hybrid model with day shifts focusing on enhancing our financial systems and processes. **In this role, you will:** + Lead the design and ... implementation of financial systems ensuring alignment with business objectives and compliance...EBS-Cash Management. + Demonstrate experience in Payments and Commercial Claims which is considered an asset. + Exhibit excellent… more
- CVS Health (Madison, WI)
- …license in physical therapist or occupational therapist * Seating Mobility Specialist (SMS) Rehabilitation Engineering & Assistive Technology Society of North ... Word, Excel and other computer software **Preferred Qualifications:** * Managed care/ claims review experience preferred **Education:** * BA, BS or equivalent… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims ... of legal / regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Metropolitan Council (St. Paul, MN)
- …and sort incoming mail, and deliver outgoing mail. In addition to the above duties the Senior Specialist will also have the following duties: Senior Account ... Accounts Payable Specialist or Senior Account Payable ...What you would do in this job Accounts Payable Specialist + Audit bills, claims and related… more