- Kaiser Permanente (Denver, CO)
- …and research functions associated with pre/post authorizations for member claims and referrals. Ensures pre-authorizations are complete, information includes data ... markets within the CO region. Actively seeks information to understand claims and authorizations. Builds rapport and cooperative relationship with internal… more
- MASS (Quincy, MA)
- …employment services. *Perform all SNAP casework in an action-based first available worker process through assigned queues. *Ensure all assigned tasks are accurate ... accordance with the Human Resources Division's Hiring Guidelines. Education and license /certification information provided by the selected candidate(s) is subject to… more
- Montana State University (Bozeman, MT)
- …###@montana.edu or ###. Classification Title Warehouse Wrkr Working Title Warehouse Worker Brief Position Overview MSU's Culinary Services hires motivated team ... primarily in support of the Commissary Kitchen, the Warehouse Worker is responsible to receive and distribute a high...job at any time. Must possess a valid driver's license , an acceptable driving record, and meet all State… more
- Thrifty White Pharmacy (Thief River Falls, MN)
- …sharing Training & development Vision insurance As a combined Community Health Worker /Pharmacy Technician, you will play a pivotal role in supporting patients in ... Pharmacy Technician: *Adhere to Medicare Part B requirements. *Resolve any rejected claims or billing issues. *Assist customers with Medicare Part D inquiries.… more
- Conejo Valley Unified School District (Newbury Park, CA)
- …including self-insured and indemnity functions of property, casualty, liability, worker 's compensation, medical, dental, vision, life and retirement programs and ... of material and evidence for use in hearings, litigation and insurance claim cases. Reviews district contracts for safety, risk and insurance requirements; Monitors… more
- County of Los Angeles, CA (Los Angeles, CA)
- …to fill any vacancies related to this recruitment. LICENSE : A valid, active license as a Licensed Clinical Social Worker issued by the State of California ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...work duties. 04 Do you possess a valid, active license as a Licensed Clinical Social Worker … more
- Sunrise Senior Living (Westmont, IL)
- …payroll reconciliation per Sunrise internal business controls. Process and manage unemployment and worker 's compensation claims and update claim activity as ... process candidates in the ATS system and perform background screenings, license verifications, and other required screenings/verifications per applicable federal and… more
- QBE Insurance Group Limited (Council Bluffs, IA)
- Primary Details Time Type: Full time Worker Type: Employee Title: Underwriter - Crop The Opportunity: The purpose of this role is to support the financial success of ... inconsistencies, and confirming next steps. Provide processing support for claims and compliance departments, completing transactions within the assigned area… more
- City of Tualatin, OR (Tualatin, OR)
- …or the ability to secure possession of, a valid Oregon driver's license . EDUCATION and/or EXPERIENCE: Bachelor's degree in Accounting, Finance, or Business ... years 06 Do you have a Certified Public Accountant license ? Yes No 07 Do you have at least...have at least one year of experience performing lead worker duties, overseeing and guiding other co-workers in job… more
- San Manuel Band of Mission Indians (Highland, CA)
- …environment and promoting department and enterprise goals. 3. Investigates customer claims and gaming disputes related to slot machines. Utilizes various resources ... and slot systems to make proper determinations when resolving claims and disputes. Uses negotiation, reasoning and sound judgment...may be required to obtain and maintain a gaming license . No Driving Responsibilities: Role does not require a… more
- Kaiser Permanente (Baldwin Park, CA)
- …areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost ... performance improvement, or a directly related field. Registered Nurse License (California) Additional Requirements: Knowledge, Skills, and Abilities (KSAs):… more
- UnitedHealth Group (Red Oak, TX)
- …necessary resources. Communicates these needs to the appropriate person (ie Social Worker , clinic staff, etc.) or addresses them per process Collaborates with the ... diploma or GED Licensed Vocational Nurse with a current license to practice in the state of employment 2+...Bilingual Spanish skillset Knowledge of managed care, referral processes, claims and ICD-9 and CPT coding Proven excellent verbal… more
- Elite (Philadelphia, PA)
- …review and case management services. This role ensures that injured worker care is medically appropriate, evidence-based, cost-effective, and compliant with ... Oversight Provide medical guidance on complex or high-cost workers' compensation claims . Review treatment and make determinations of appropriateness based on medical… more
- Selfhelp Community Services (Bayside, NY)
- …agencies to coordinate assessment and necessary paperwork, in accordance with Claims Conference policies and procedures. Represents the organization at community ... services experience, preferably in the field of aging NYS license and registration to practice as a Licensed or...registration to practice as a Licensed or Certified Social Worker in New York State preferred May supervise the… more
- NAPAA (Lihue, HI)
- …technology to continuously improve knowledge and performance. Qualifications: Hold the insurance license required the state of Hawaii. Possess a valid driver's ... license and a source of reliable transportation. Demonstrate strong...Professional Insurance Professionals go by many names: Brokers, Underwriters, Claims Representatives, Adjusters, Actuaries, etc. No matter the name,… more
- CAMC Health System (Charleston, WV)
- …and DNFC to ensure discrepancies are resolved in a timely manner and claims are billed timely and accurately Establish appropriate procedures for follow-up with ... Accounts department and provide honest and constructive feedback. Analyze claim denials, identify trends, and implement strategies to prevent...guidelines. Monitor KPI such as Days in AR, clean claims rate etc. to ensure department goals are being… more
- Advanced Bio-Logic Solutions Corp (Newbury Park, CA)
- …superior clinical services. The incumbent will possess an active registered nurse license and work onsite in close collaboration with the occupational health team. ... with colleagues, patients, and OH partners Position requirements Active registered nurse license in the state of California 3-5 years of clinical nursing experience.… more
- Holman, Inc. (Maple Shade, NJ)
- …Assist with client service needs that may include policy changes, billing questions, claims inquiries and assistance, or other tasks as requested. Every employee in ... experience as determined by department management. Property & Casualty Insurance License Relevant Work Experience: Minimum of one-year experience in insurance… more
- Contra Costa County, CA (Martinez, CA)
- …data Critical Thinking: Analytically and logically evaluating information, propositions, and claims Customer Focus: Attending to the needs and expectations of ... this recruitment may remain in effect for six (6) months. Minimum Qualifications License Required: Possession of a valid License as a Cytotechnologist issued… more
- NAPAA (Yonkers, NY)
- …corrections as needed and maintain A/R and billing Qualifications Hold the insurance license required by your state and have a minimum of two years personal ... management experience, or comparable work experience. Possess a valid driver's license and/or a source of reliable transportation. Demonstrate strong knowledge of… more
