- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal ... hearing processes for all non-Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, gathering relevant information from… more
- Point32Health (Watertown, MA)
- …on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around ... of all of our colleagues, which helps us to provide service with empathy and better understand and meet...Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for… more
- Louisiana Department of State Civil Service (LA)
- …family cases. Assesses financial resources to determine an absent parent's ability to provide support. Monitors all support payment activity on assigned cases ... SOCIAL SERVICES ANALYST 1/2/3 (LAFAYETTE REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776267) Apply SOCIAL SERVICES ANALYST … more
- City and County of San Francisco (San Francisco, CA)
- Company Description IS Programmer Analyst -Principal (1064) City College of San Francisco 50 Frida Kahlo Way, San Francisco, CA 94112, USA Full-time Work Hours: ... with locations throughout the city. Our vision is to provide a sustainable and accessible environment where we support...a successful future. Job Description The 1064 IS Programmer Analyst - Principal is responsible for active development and… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... provide cutting edge solutions that will directly improve the...your expertise to review reimbursements and issues in Carrier Payment Audits. The ideal candidate will have strong technical… more
- e CancerCare (Nashville, TN)
- Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... into contract management system. . Analyze relevant data to provide in reports, which includes determining the impact of...care, as needed. . Auditing contracts to ensure proper payment in the Experian tool. . Working with payers… more
- TEKsystems (Portland, ME)
- …Payments (AOP) and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are ... paid w/ no penalties or interest curtailments * Ensures payment to vendors in a timely manner * Corresponds...About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business… more
- Sysco (Houston, TX)
- …including real estate tax, personal property tax, valuation, audits, tax bill payment , budgeting, and forecasting. Internally collaborate and provide guidance ... annual business personal property and inventory returns.** **Support the tax bill payment process.** **Work with leadership to scope, propose, and execute value… more
- Commonwealth Care Alliance (Boston, MA)
- …regulations, and CMS payment methodologies (eg, DRG, APC, RBRVS). + Support provider appeal reviews and internal payment integrity investigations by ... as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider engagement… more
- State of Colorado (Denver, CO)
- …and locate non-compliant taxpayers and businesses. + What documentation is needed to provide to the taxpayer for types of non-compliance and delinquency. + Steps, ... having successful performance. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to… more
- State of Colorado (Gilpin County, CO)
- …eligible for overtime compensation. Department Contact Information Anita McEachern - HR Analyst at ###@state.co.us How To Apply Please submit an online application ... transferring inquiries, processing visitors, accepting and processing applications, receiving payment for services, maintaining records, and handling customer service.… more
- State of Colorado (Grand Junction, CO)
- …Duties: Claims Support - + Processes claims using the Claims and Payment system, ensuring paperwork accuracy and and verifying personal information. + Coordinate ... stolen, altered, or high-tier prize tickets requiring special handling. + Provide retail operations backup, including ticket order placement, inventory restocking… more
- State of Colorado (CO)
- …Maintain delegation-related records. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights *A Human Resources Analyst will only review ... for dependable state government, leading with responsiveness, integrity, and teamwork. We provide services to other government agencies and all Coloradans by taking… more
- Guthrie (Sayre, PA)
- …to secure appropriate payment . Trends corrections and works with Reimbursement and provider office staff to educate. 4. Uses payer submission log and Follow up ... thorough understanding of the requirements of the Government and Non‐Government payment policies & payer contracts. Trains Insurance Billing Specialists and related… more
- City and County of San Francisco (San Francisco, CA)
- …with federal and state regulations related to case service delivery, ensuring payment requests are accurate and services are appropriate. 2. Conduct field ... policies and procedures to ensure alignment with federal and state regulations; provide policy interpretation as needed. 9. Provide training, guidance, and… more
- The County of Los Angeles (Los Angeles, CA)
- …in Southern California, over 116,000 employees in more than 39 departments provide vital public services as diverse as law enforcement, property assessment, public ... and manage schedules and budgets. Familiar with processing change orders and payment requests. Works with County Counsel to review and resolve contractual issues… more
- Whitney Young Health Center (Albany, NY)
- …Worked Receivables, complete special project work, review and respond to adjustments / payment data with approval (or initiate appeal ) communicate trends and ... of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible...resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …The Director will have advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff ... and responds to audit reviews/questions/adjustments + Monitor Medicare and Medicaid appeal and cost report reopening issues. + Completed Medicare 855As (and… more
- WSFS Bank (Philadelphia, PA)
- …organization. NewLane Finance is immediately seeking an experienced Property Tax Analyst with strong skills in, but not limited to, effective communication, ... ability to identify issues and provide solutions, attention to detail and time management. The...This would include return filings, assessment review, and the appeal process. + Receive, sort, and categorize notifications from… more