- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- Staffing Now (Tampa, FL)
- …* Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments ... Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and...to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims… more
- Fidelity TalentSource LLC (Westlake, TX)
- …Role The Claims Reconciliations Representative will report to the Senior Manager of the Complex Reconciliations Team. The Representative role will be responsible ... Claims Reconciliation Representative Fidelity TalentSource is your destination...at Fidelity Investments. We are currently sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The… more
- GEE Group Inc (Columbus, OH)
- …continuous improvement efforts, we are seeking a dynamic and experienced EHS Assistant Manager with a focus on environmental compliance and safety to join this ... amazing team. Position Overview: As an EHS Assistant Manager with a specialization in environmental compliance, you will play a crucial role in ensuring this… more
- Accounting Now (Pinellas Park, FL)
- …for ensuring accurate billing, timely submission of electronic and/or paper claims , monitoring claim status, researching rejections and denials, documenting ... on information that seems incomplete or is lacking for proper account / claim adjudicationResponsible for correcting, completing, and processing claims for all… more
- Sunbelt Rentals, Inc. (Kahului, HI)
- …peopleSunbelt Rentals--the fastest growing rental business in North America--is seeking a Service Manager . As a Service Manager , you will manage the servicing of ... Create, update, close and bill work orders* File warranty claims in a timely fashion* Commission New Equipment* Order...Record Reporting - Open work order report - Warranty claim summary report - Inventory management - Parts &… more
- EDI Staffing (Long Beach, CA)
- …(electronic) system for conducting business Manage inbound data feeds including: all claim file types, MOR, MMR, DXHCC, RAPS, Reconciliation files, eligibility and ... Support the centralization of information for using OnBase for content management Support claims in load processes and procedures Lead all Encounter and EDI related… more
- Aequor (Austin, TX)
- …during project execution Work with Project Manager and Project Controls Manager to resolve valid contractor disputes, claims and/or change orders Experience ... for signature, and store for compliance. Ideal Capital Projects Sourcing Manager candidate: 5 years hands-on capital construction experience in procurement and… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited about ... expanding and adding an Agile Project Manager to our Professional Services team. This key member...of Medicaid, MMIS, Decision Support Systems (DSS), eligibility/enrollment systems, claims process or related experience with a state agency… more
- US Tech Solutions, Inc. (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay … more
- BioAgilytix (Durham, NC)
- …life-saving therapeutics to the patients who need them.We're seeking an experienced Manager of Employee Relations to join us at our Durham location, which ... both our hub for nearly 600 talented employees and our global headquarters. The Manager of Employee Relations will play a pivotal part in fostering a positive work… more
- Insmed Incorporated (Bridgewater, NJ)
- …Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Senior Manager , Commercial Analytics, Respiratory will be a key member of the ... skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business… more
- Bakerly Ranch LLC (San Antonio, TX)
- Description:Scope/Purpose of the PositionThe Human Resource Manager will plan, coordinate, and direct the administrative functions of Bakerly. They will oversee the ... law.Plan, organize, administer Workers' Compensation, including the review and processing of claims and legal documents. Advise department about the status of … more
- HHS Technology Group, Inc. (Atlanta, GA)
- …reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER (PMP CERTIFIED) POSITION DESCRIPTION: HHS Technology Group is excited about expanding ... and adding a Project Manager to our Professional Services team. This key member...of State government experience in Medicaid, MMIS, eligibility/enrollment systems, claims process or related experience Proven track record of… more
- JobsRUs (Torrance, CA)
- …by preparing and maintaining required reports and policies, handling unemployment claims , and conducting required investigations. -Current knowledge of best practice ... including employment, promotion and transfer letters, and termination forms. -Manages WC Claims . -Managing Captive and liability claims -Representing the Company… more
- Aequor (New York, NY)
- …Medical Leave of Absences (Short Term Disability, FMLA, ADA) by tracking claims and communicate case status to employees, mangers, human resources, legal, and ... healthcare providers Facilitate and be a resource to employees in a smooth transitional (modified) or full return to work assignmentsTechnical Competency Description: Health Insurance Portability and Accountability Act (HIPAA) Americans with Disability Act… more
- Colorado Housing and Finance Authority (CO)
- …advanced to the sub-servicer for loans in loss mitigation, which includes partial claims and foreclosure claims . Monitor receipt of all loan modification ... there are any issues. This individual reports to the Manager of Servicing and Post Closing. essential functions *...functions * Monitor the processing of funds, such as claim money, sales proceeds processed by our sub-servicer. *… more
- U of C NORC (Chicago, IL)
- …and analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and data analysis projects for health care ... clients' business strategy, policy positioning, and external thought leadership. The Senior Manager will have strong subject matter and technical expertise in 2-3… more
- Johnson Service Group (Marietta, PA)
- Johnson Service Group (JSG) is currently looking for a Project Procurement Manager . This is a contract opportunity with a multinational pharmaceutical and ... and Contracting strategy with the assistance of the Program Manager and Project Manager * Engage with...control) * Support project team for contract execution and claim management (EHS, cost, schedule, and document control) *… more
- HITT Contracting (Falls Church, VA)
- …our vision to create extraordinary experiences, you belong at HITT. Manager , Subcontracts AdministrationJob Description: The Manager , Subcontracts Administration ... out of HITT's HQ in Falls Church, VA. The Manager is an integral part of the Legal &...and corporate resource team members on subcontract negotiations, small claims , liens and disputes with subcontractors and vendorsMaintain and… more
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