- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare...priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree related/other field preferred. + Five to eight… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for monitoring ... of diverse scope and complexity ranging from moderate to substantial. + The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for… more
- UNC Health Care (Rocky Mount, NC)
- …the health and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to ... assist in facilitating: 1) clinically related reviews of patient accounts/ claims to ensure compliant billing guidelines (internal and external) are followed… more
- Molina Healthcare (Covington, KY)
- …with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation ... for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.… more
- Bridgestone Americas (Nashville, TN)
- …provide formal training, competitive performance incentives, paid vacation and holidays, healthcare packages for full-time and part-time employees, and a 401k plan ... and market a wide range of Bridgestone, Firestone and associate brand products to address the needs of a...team approach to manage a docket of global legal recovery matters as well as environmental and toxic tort… more
- Trinity Health (Farmington Hills, MI)
- …Resolves claims , conducts formal account reviews, identifies lost charge recovery , analyzes and documents delays and payment variances. Identifies routine issues ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor… more
- Trinity Health (Farmington Hills, MI)
- …Resolves claims , conducts formal account reviews, identifies lost charge recovery , and analyzes and documents delays and payment variances. Identifies systemic ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments. Processes payments as appropriate in… more
- The County of Los Angeles (Los Angeles, CA)
- …and conducts diagnostic assessments of clients in order to develop treatment and recovery plans for clients and/or their family members . P articipates in the ... treatment related services with caseworkers, probation officers, and community and healthcare workers. Coordinates mental health support services to clients and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …support internal policy development. + Additional research will include Agency for Healthcare Research and Quality (AHRQ), Recovery Audit Program (RAC) ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....+ Knowledge of how to research within the Medicare Claims and Processing Manuals. **Education, Knowledge, Skills and Abilities… more
- Intermountain Health (Salt Lake City, UT)
- …is responsible for registering and scheduling patients at Intermountain Healthcare facilities system-wide ensuring that processes and procedures exceed customer ... unhappy customers applying Healing Commitment principles to achieve positive service recovery . + May lead, mentor, and/or train new employees. Minimum Qualifications… more
- Burrell Behavioral Health (Independence, MO)
- …to the insurance specialists and insurance billers for issues related to claims submissions. + Communicate the strategic direction of the organization and encourage ... of the policies, procedures, and regulations of the program(s) to which the associate is assigned. + Some knowledge of supervisory and training techniques and… more
- Humana (Louisville, KY)
- …established guidelines/procedures. The Accountant will assist with funding for pharmacy claims , reconciliation of individual payment and financial recovery of ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- New York State Civil Service (Marcy, NY)
- …Qualifications Minimum QualificationsBachelor's degree plus three years relevant experience or Associate 's degree plus five years relevant experience or high school ... making recommendations related to project budgets and schedules, and developing recovery plans related to quality, budget, and schedule.Essential Functions* Monitor… more
- New York State Civil Service (New York, NY)
- …successful completion of designated supervisor training during probationary period; or Associate 's degree plus ten years relevant experience and two years ... making recommendations related to project budgets and schedules, and developing recovery plans related to quality, budget and schedule.Essential FunctionsMonitor and… more
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