- NJM Insurance (Hammonton, NJ)
- NJM's General Claims Legal Department is currently seeking to fill a PIP Appeals and Litigation (PAL) Representative position. We are looking for talent who ... attend legal proceedings as appropriate* Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation… more
- HUB International (Lafayette, LA)
- …Acts as a liaison with insurance carriers, providers, and clients to resolve claims (including assistance in the appeals process), enrollment, termination, and ... leading success in Mergers and Acquisitions. **Position Summary** The Internal Service Representative addresses all employee benefit issues as brought up by HUB… more
- UNC Health Care (Smithfield, NC)
- …teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Veterans Benefits Administration (Louisville, KY)
- …of C&P laws and regulations, to include precedent opinions of the Court of Appeals for Veterans' Claims and authoritative opinions of the General Counsel. ... District Regional Offices located in Louisville, KY. The Supervisory Veterans Service Representative (Assistant Coach) is an integral part of VSC, BEST, or PMC… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional ... reports for validation of accurate transmission + Resolve transmission errors and resubmit claims + Report all payments on collection claims to the Collections… more
- LogixHealth (Bedford, MA)
- …on issues/errors until resolved + Review A/R reports to follow up on any unpaid claims + Submit required appeals when needed + Submit any required documentation ... Excel skills We want to meet YOU! Purpose Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight… more
- Government Accountability Office (Washington, DC)
- …on relevant statutes, regulations, and internal orders. Responsibilities As a Senior Staff Attorney/ Senior Attorney (Legal Services), PA-0905-2/3 in Legal ... the following: Managing a docket of administrative litigation before the GAO Personnel Appeals Board (PAB) covering a wide range of personnel and labor matters (eg,… more
- State of Colorado (Broomfield County, CO)
- …of agreements with grantees, monitoring project status, reviewing reimbursement claims , overseeing progress reports and annual reports, conducting project site ... the rule as it applies to grantees + Uses judgment to evaluate financial claims of grantees and determine whether costs are eligible + Oversees the day-to-day… more
- Tufts Medicine (Lowell, MA)
- …eligibility verification, claim edits, payer follow-up, correspondence review, corrected claims , appeals , reimbursement verification, and remittance research for ... CPT and ICD diagnosis coding. 2. Certified Revenue Cycle Representative (CRCR). 3. Epic certifications. 4. Five (5) years...all escalated accounts to ensure timely resolution; submits corrected claims and appeals on administrative denials as… more
- Kraus-Anderson (Minneapolis, MN)
- …and relationships. **Position Summary** The General Counsel will partner with Kraus-Anderson senior leadership to develop and implement legal strategy, will act as ... disputes with tenants; provide oversight of real estate tax appeals and collection matters; draft, file and serve eviction...with Kraus-Anderson Realty Company to review, defend, and resolve claims by tenants and other third parties. + _Claims… more
- Immigration and Customs Enforcement (Washington, DC)
- …appellate advocacy and motions practice before the Board of Immigration Appeals , the interplay between removal proceedings and extradition, and the interpretation ... States. Pursuant to statute, OPLA serves as the exclusive representative of DHS in removal proceedings before the Executive...law enforcement authorities, legal liability under the Federal Tort Claims Act and Bivens v. Six Unknown Named Agents… more
- VNS Health (Manhattan, NY)
- …high dollar claims , complex case reviews and participates in the appeals process as required.* Participates in inter-rater reliability activities.* Serves as a ... operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical and related… more
- Immigration and Customs Enforcement (Washington, DC)
- …the United States. Pursuant to statute, OPLA serves as the exclusive representative of DHS in removal proceedings before the Executive Office for Immigration ... law enforcement authorities, legal liability under the Federal Tort Claims Act and Bivens v. Six Unknown Named Agents...Employment Opportunity Commission, and the Civilian Board of Contract Appeals . OPLA attorneys support DOJ in the prosecution of… more
- State of Colorado (Denver, CO)
- …responsibilities under one umbrella. Duties include: Collaborating closely with FAMLI senior leadership to ensure technology development aligns with FAMLI's vision ... needs for ancillary systems (not MyFAMLI+Employer (employers service) and MyFAMLI+ ( claims management system)). Resolve related issues the system design did not… more
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