- Providence Health & Services (Anaheim, CA)
- …years of Experience in health care or pharmacy billing, collections or medical claims processing. Preferred qualifications: Bachelor's Degree in Business, ... Job Description The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, processes and… more
- Chubb (Chicago, IL)
- Job Description Chubb is seeking a Senior Commercial Lines Underwriter to join its Small & Lower Midmarket ("SLM") Construction Industry Practice, which targets ... as well as following a referral process to maintain compliance and audit standards. Cross-sell additional lines of business to maximize revenue per account,… more
- Matheson Tri-Gas, Inc. (Irving, TX)
- …and international regulations. Assist with management of worker's compensation claims through communication with MATHESON employees, insurance representatives, and ... medical providers. Assist with management of auto, property, and...providers. Assist with management of auto, property, and liability claims through communication with MATHESON employees, insurance representatives, service… more
- NYC Health Hospitals (New York, NY)
- …of projects. a. Conducts and reviews the following audits: Monthly TPA captured claims audit Monthly additional financial opportunity audit Bimonthly ... management, distribution and logistics. General Responsibilities Reporting to the Senior Director of 340B, Pharmacy/Supply Chain the Assistant Director will… more
- Chubb (Houston, TX)
- …profitable underwriting results for the business unit. These units include Operations, Claims , Actuarial, Loss Control and all other Chubb NA underwriting units. ... process for business unit. Refers risks falling outside of authority to senior leadership as appropriate. Underwriting policy - assists with the development and… more
- CERiS (Fort Worth, TX)
- …payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits Strong understanding ... of healthcare revenue cycle and claims reimbursement Proficient in Microsoft Office including Pivot Tables...in one or more of the following areas required: Medical bill auditing Experience in the acute clinical areas… more
- Lockton (Seattle, WA)
- …*Services designated book of business as relating to marketing, claims , and administration *Responds to Client's inquiries, maintains documentation of ... requests for changes as needed *Process audits and creates audit analysis for Client *Receives policy, then updates and...quotes from carriers once submitted and negotiated by more senior staff *Binds coverage under direction of the Unit… more
- Fallon Health (Buffalo, NY)
- …implementation of processes and workflows, network development, contract management, claims , billing, and authorization assistance. This position may require ... processes: Working with the Clinical Leadership team to develop, implement, monitor, audit and report on effectiveness of clinical and operational processes and… more
- AssuredPartners (Reading, MA)
- …management plans for clients as assigned an directed by Agency management. Own all audit , review and claims processes for assigned book of business. Analyze data ... of more junior team members including Account Coordinators, Account Managers, and Senior Account Managers. Facilitate and collaborate with account team on the… more
- Federal Home Loan Bank of Chicago (Chicago, IL)
- …Collaborative, in-office operating model Retirement program (401k and Pension) Medical , dental and vision insurance Lifestyle Spending Account Competitive PTO ... allow employees to grow their career with us. What you'll do: The Senior Director, Servicing Portfolio Management will have broad responsibility for management and… more
- Cuyahoga County Board of Health (Cleveland, OH)
- …budgets and monitor expenditures. Responsibilities: Serves as a member of the CCBH's Senior Leadership Team. Participates in the creation and execution of the CCBH's ... revenue, purchasing, vouchers, accounts payable, payroll, inventory, grants management, medical billing, and accounts receivable, and all other areas of… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- Point32Health (Canton, MA)
- …contract interpretation in accordance to claims processing guidelines, Point32Health Medical and Payment Policies and established audit protocols. He/she ... (minimum): 5-7 years of related professional healthcare experience including familiarity with medical claims processing. + Preferred: 8-10 years of related work… more
- CVS Health (Springfield, IL)
- …a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark. In this role, you will be based from your home ... and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- CHS (Clearwater, FL)
- … claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with… more
- WTW (Chicago, IL)
- …PPO, Indemnity and Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and ... **Description** As a Lead Auditor you will apply your audit , project management and client management skills to lead client audits. You will serve as the team leader… more
- American Water (Camden, NJ)
- …package including 401(k),Defined Contribution Plan, Employee Stock Purchase Plan, medical , prescription, dental and vision coverage, plus disability, paid time ... wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission.… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Amazon (Tempe, AZ)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
