- Independent Health (Buffalo, NY)
- …immediate supervisor which may include servicing walk-in members, correspondence support and making outbound phone calls. **I** **mmigration or work visa ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- CDR Maguire (Shrewsbury, PA)
- …and cost of materials used; prepares contractors' periodic progress payment claims and recommends payment. Relocation or sponsorship is not available. Local ... it relates to above duties or as directed by supervisor . + Provide positive attitude to establish competence and...succeed in both their professional and personal lives. We support employees and their eligible family members with a… more
- CDR Maguire (Warrendale, PA)
- …and cost of materials used; prepares contractors' periodic progress payment claims and recommends payment. ESSENTIAL FUNCTIONS: + Ensure compliance with the ... it relates to above duties or as directed by supervisor . + Provide positive attitude to establish competence and...succeed in both their professional and personal lives. We support employees and their eligible family members with a… more
- CDR Maguire (Norristown, PA)
- …and cost of materials used. + Prepares contractors' periodic progress payment claims and recommends payment. OTHER PRINCIPAL DUTIES: + Travel as required a ... it relates to above duties or as directed by supervisor . + Provide positive attitude to establish competence and...succeed in both their professional and personal lives. We support employees and their eligible family members with a… more
- CDR Maguire (West Palm Beach, FL)
- …conform to the contract documents. + Prepare contractors' periodic progress payment claims and recommends payment. + Ensure compliance with the contract documents by ... it relates to above duties or as directed by supervisor . + Provide positive attitude to establish competence and...succeed in both their professional and personal lives. We support employees and their eligible family members with a… more
- Axis (Red Bank, NJ)
- …Responsibilities include mentoring or managing underwriters, working with actuaries and claims professionals, and negotiating with brokers. The position also entails ... The chosen candidate will contribute significant value to the organization and support long-term strategic goals. **Work Profile** The work profile for this exciting… more
- Beth Israel Lahey Health (Boston, MA)
- …Job Summary: The Retail Pharmacy Technician is responsible for providing technical support under the supervision of a licensed pharmacist in the outpatient/retail ... Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. 5. Ability to… more
- University of Virginia (Charlottesville, VA)
- …review, claim edit, and coding-related denial trends and shares trends with supervisor , managers, and team members to facilitate root cause analysis and continuous ... for Business Services and physician office requests regarding non-billed or non-reimbursed claims . + Completes special projects as directed by coding leadership. +… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... coding-related issues. + Develop and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding professionals and be able… more
- GSI Service Group Inc. (Honolulu, HI)
- …be responsible for maintaining contract files and assisting in the preparation of claims . This individual will also assist with preparation of cost reports and ... limited to): + Perform pre-bid visits; + Perform material take-offs in support of estimating activities; + Coordinate with suppliers and subcontractors in obtaining… more