- CenterLight Health System (NY)
- …and resolving issues promptly. + Investigate suspense conditions to determine if system or procedural changes could enhance claim workflow and efficiency. ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO-REMOTE ** Worker Type:** Regular **Job Highlights:** Additional Job Description Named 150 Top Places to Work in ... Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through… more
- CenterLight Health System (NY)
- …monitor TPA's open tickets. Collaborate with TPA to ensure timely update to claims system configuration to reflect payment integrity. + Ensure accurate logging ... guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on data… more
- Naval Supply Systems Command (Manchester, WA)
- …to complete the Competency Based Certification (CBC) program for Fuel Distribution Systems Worker (WG-5413-04), including completion of a 40-hour HAZWOPER course ... trucks, all under the close guidance of a senior worker . You will record fuel transfers and apply seals...ability to do the work of a Fuel Distribution Systems Operator demonstrated through experience, working under close supervision,… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...sound decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools… more
- CenterLight Health System (NY)
- …CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims systems , encounter process, and a strong focus on data-driven ... of HCC and ICD-10. + Review, validate, and reconcile claim and encounter data submissions for completeness, timeliness, and...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… more
- Naval Supply Systems Command (Lemoore, CA)
- …position is: The ability to perform the work of a WG-5413-08, Fuel Distribution Systems Worker , as demonstrated by experience, working under close supervision as ... and filter separators. You will operate and maintain a complete fuels distribution system (s) to receive, store, transfer, and issue both aviation and ground fuels.… more
- FlexStaff (Bronx, NY)
- …facility compensation grids. Provides feedback or suggestions to enhance current processes or systems . - Reviews and investigates claims to be adjudicated by the ... manner - Investigates suspense conditions to determine if the system or procedural changes would enhance claim ...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software… more
- Actalent (Bronx, NY)
- …inquiries in a timely manner. + Investigate suspense conditions to determine if system or procedural changes would enhance claim workflow. + Communicate and ... handling. + Proficiency in Microsoft Office Suite. + Experience with claims processing systems or comparable database software. + Certified Professional… more
- Mille Lacs Health System (Onamia, MN)
- …provides high-quality patient care across outpatient service lines. The Social Worker demonstrates strong patient and family assessment skills, plans and implements ... facilitates psycho-diagnosis, treatment planning, and discharge planning. The social worker plays a critical role in supporting value-based care initiatives… more
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