- Command Investigations (Fort Myers, FL)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking experienced investigator with multi-lines investigations to include AOE/COE, General Liability, and Auto, with Homeowner's ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Command Investigations (San Jose, CA)
- Seeking experienced Full-Time and Part-Time Private Investigators in the area to conduct SURVEILLANCE as it relates to the investigation of suspect insurance ... claims . We are seeking individuals who possess proven investigative...Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private … more
- Command Investigations (Lansing, MI)
- Seeking individuals for an Experienced level position as a Full-Tim and Part-Time Private Investigator in the area to conduct SURVEILLANCE as it relates to the ... investigation of suspect insurance claims . Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a...Must be eligible to be licensed as a Private Investigator in your state + Flexibility to work varied/irregular… more
- The Robison Group (Memphis, TN)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... POSITION QUALIFICATIONS: + Candidates MUST hold an active Tennessee Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative… more
- City of New York (New York, NY)
- …The Agency's Equal Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex ... the City. We have an exciting opportunity for an experienced Attorney to be part of a team that...from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also… more
- Elevance Health (Los Angeles, CA)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or ... or intricate healthcare fraud schemes - Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business - Researches and prepares… more
- The Robison Group (Tallahassee, FL)
- …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. This ... for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team of investigators and industry… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. Non-Bargaining Unit, 845 - Orthopaedics - ISM, Icahn School… more
- Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator or Manager… more
- Mount Sinai Health System (New York, NY)
- …Center FT Days** The Senior Billing Coordinator and Analyst is an experienced billing and revenue-capture individual, responsible for multiple components of the ... proficient in these processes to ensure accurate and timely payment of claims and collection. This individual coordinates all activities related to analysis,… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a...Accounts Receivable and current billing concerns. + Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in… more
- Mount Sinai Health System (New York, NY)
- …demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter expert for those ... less experienced . **Qualifications** + HS/GED; Associates Degree is preferred +...3+ years of experience in medical billing or health claims , with experience in billing systems in a health… more
- Mount Sinai Health System (New York, NY)
- …billing system and/or payors to facilitate the accurate and timely payment of claims . **Qualifications** + High School diploma/GED. + Three years of experience in a ... medical billing or insurance claims environment. **Responsibilities** 1. Reviews and resolves moderate to...edits including TES, BAR and eCommerce. 3. Mentors less experienced staff and may assist Billing Manager in training… more
- Mount Sinai Health System (New York, NY)
- …Analyzes charges and reimbursement to ensure compliance with Federal and State claims submission regulations + Ensures the existence of accurate charging processes + ... validation, workflow decisions, and implementation. + Trains and mentors less experienced Chargemaster and related revenue capture staff. + Manages and Conducts… more
- Mount Sinai Health System (New York, NY)
- …School diploma/GED. + 2 years experience in medical billing or health claims . Experience with IDX billing systems preferred. Non-Bargaining Unit, R45 - Orthopaedics ... and updates tracking logs as required. + Mentors less experienced staff and may assist Billing Manager with training...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more