- AdaptHealth LLC (Cary, NC)
- …lives, please click to apply, we would love to hear from you. Supervisor , Customer Service This position monitors and measures the team of representatives that ... Department and Company metric requirements. Ensuring achievement of the quality audit program through monitoring, coaching and continuous feedback. Manage department… more
- Triple-S (Guaynabo, PR)
- MARisk Adjustment Supervisor JOB NATURE Responsible for managing the Medicare operational area of the risk adjustment process and encounter data processing (EDPS) in ... risk adjustmentdata validation audits by government agencies or outside audit vendors,providing assistance to internal stakeholders and conduct medical record… more
- Houston County, MN (Caledonia, MN)
- …general direction of the Public Health and Human Services (PHHS) Fiscal Supervisor , the Collections Officer's primary duties relate to the determination and ... State of Minnesota Maintain record retention of case files for State Audit compliance Technical Preparation (15%) Maintain a working knowledge of relevant Minnesota… more
- MCI Careers (Savannah, GA)
- …and results program-wide. Operations managers conduct regular business meetings with supervisor to complete performance reviews and coaching to ensure maximum ... departments such as Quality Assurance, Training, IT, and Recruiting Design and audit quality assurance strategies to ensure top-tier service delivery Manage hiring,… more
- ND Group (Dedham, MA)
- …& Dedham's standards and objectives. Refers risks in excess of authority to supervisor for acceptance or rejection. Makes sure that all required information is ... and location of risk, age and condition of property. Calls for inspections, audit reports or further information from agents to verify conditions affecting degree of… more
- Walgreens (Oak Creek, WI)
- …Continuous Quality Improvement Program. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up ... as well as medical providers and conducts or participates in 3rd party audit . Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking… more
- Walgreens (Cypress, TX)
- …to further promote productivity. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and participates in 3rd party audit . Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- MCI Careers (Mesilla, NM)
- …and results program-wide. Operations managers conduct regular business meetings with supervisor to complete performance reviews and coaching to ensure maximum ... organization, such as quality assurance, training, IT, and recruiting. Develop and audit quality assurance strategies to ensure the delivery of world-class service… more
- Intelligent Staffing, Inc. (Piscataway, NJ)
- …including breathing exercises and teaching and training to residents. e. Notify supervisor of all new starts and discontinued residents. Administers proper technical ... within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participates in required orientation and training programs.… more
- Sedgwick (Riverside, CA)
- …of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** **California workers ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead ( Supervisor ) | Riverside, CA...and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service… more
- Sedgwick (Riverside, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead ( Supervisor ) Workers Compensation **PRIMARY PURPOSE:** To supervise… more
- PennyMac (Fort Worth, TX)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Claims Supervisor is responsible for providing structure and oversight to ... all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Supervisor will : + Manage the post-foreclosure servicing functions as… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …direction and oversight, the incumbent is responsible for managing and analyzing claims handling activities for Claims Examiners; ensuring compliance with legal ... time to time. 1. Effectively manage assigned team of Claims Examiners and performance of same. 2. Review all...and monitor quality of same. 7. Participate in the audit process by reviewing performance on individual claim files… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
- Novant Health (NC)
- …The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by proactively managing significant issues in ... Employment Type: Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for INPATIENT… more
- Novant Health (NC)
- …The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by proactively managing significant issues in ... Employment Type: Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for OUTPATIENT… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- City of New York (New York, NY)
- …CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Bureau of Audit Services plays a leading role in risk-based assessments of the Department's ... Innovation's policies. Position Summary: DOHMH is seeking an Assistant Audit Manager to join the Bureau of Audit...all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review… more
- Sedgwick (Irving, TX)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
- CareFirst (Baltimore, MD)
- …information in reports. + Settles insurance claims by approving or denying claims and partnering with supervisor on progress towards claim settlement + ... local offices for meetings** . **PURPOSE:** Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority… more
