• Medical Biller - Healthcare Claims

    Guidehouse (El Segundo, CA)
    …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever… more
    Guidehouse (04/11/25)
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  • Premium Audit Reviewer II

    Zurich NA (Springfield, IL)
    …and statutory materials and claims and enters relevant items into Premium Audit system. + Consults with Premium Auditor/ Supervisor to research details of ... Premium Audit Reviewer II 121817 Zurich North America is hiring an Premium Audit Reviewer II to join our team! We are open to hiring talent in one of the… more
    Zurich NA (04/08/25)
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  • Claims Team Lead - Liability Bodily Injury

    Sedgwick (Cincinnati, OH)
    …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
    Sedgwick (05/20/25)
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  • Claims Consultant | Risk Finance…

    Henry Ford Health System (Detroit, MI)
    …and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation ... and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice President,… more
    Henry Ford Health System (05/21/25)
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  • Claims Specialist

    Fedcap (South Portland, ME)
    …other routine operations related to compliance. Working in close collaboration with Finance Supervisor (s), the Claims Specialist assist in any or all facets of ... adaptable finance professional to join our team as a Claims Specialist! The hired person will partner with finance...for compliance with funding policies, procedures, and regulations. + Audit and analyze financial activities and data and assist… more
    Fedcap (05/24/25)
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  • Tax Analyst - Audit and Appeals

    Penske (Reading, PA)
    …with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability to design, develop, implement, ... draw clear and concise conclusions and identify improvement opportunities. -Manage audit support requests with customers, vendors and related companies -Other… more
    Penske (06/06/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… more
    City of New York (03/26/25)
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  • Safety Supervisor

    Transdev (Norcross, GA)
    Safety Supervisor Transdev in Norcross, GA is hiring a Safety Supervisor . The Safety Supervisor ensures compliance with federal, state, and local regulations ... accidents. + Collect data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians or other drivers.… more
    Transdev (05/30/25)
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  • Data Control Unit Supervisor

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate III to function as a Data Control Unit Supervisor , who will: - Perform final review and signs off on cases prepared by ... records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC,… more
    City of New York (05/14/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    … findings with an objective for maximizing potential Federal and State reimbursement claims . - Discuss critical issues with supervisor and staff and suggest ... respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is… more
    City of New York (05/14/25)
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