- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Under the supervision of the Business Services Supervisor , the Prior Authorization Specialist (PAS) is responsible for processing incoming ... requests by contacting the Health plans verbally or electronically to obtain prior authorization for services provided and directed by a Kelsey provider. The… more
- Guidehouse (San Marcos, CA)
- …to 10% **Clearance Required** **:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of ... of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director...Access, Medical Records and Information Systems to ensure clean claim rate meets established goals. + Works with both… more
- ICW Group (Orlando, FL)
- …JOB** The purpose of this job is to supervise and provide guidance to the Claims Support staff and to assist in escalated Claims matters. This position exists ... to ensure that Company objectives and standards are met within the Claims Support team. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Manages a claims support unit… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …for proper documentation and will ensure that all necessary data was verified prior to billing. Additional responsibilities: + Check claim to verify correct ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...others for all aspects of the UB04 and 1500 claim forms. WHAT WE OFFER As a CommuniCare employee… more
- Kemper (Henderson, NV)
- …our stakeholders that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of outbound Express Adjusters ... including delegation of authority and disposition of assigned claims . **Position Responsibilities:** + Hires and trains employees for the unit. Monitors employee… more
- Allied Universal (Salt Lake City, UT)
- …claims with red flags that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must use their extensive knowledge of ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… 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 ... responses are provided. * Reviewing and approving higher dollar claims prior to payment. * Oversight for the ongoing management of claims processing… more
- LA Care Health Plan (Los Angeles, CA)
- …administrative functions for the audit team. Set up completely and timely work papers needed prior to going on site for the claims audits. Perform other duties ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location:...with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …PDF format. For additional information about this position please contact Crystal Breton, Supervisor Claims Adjustment Unit at ### or by e-mail at ###@Maine.gov ... Medical Support Specialist- Claims Augusta, Maine | Community & Social Services...test and report review results. Desired skills include: 1. Prior experience working with an enterprise-level database. 2. Skilled… more
- TEKsystems (Irvine, CA)
- MUST live within 60-90 mile radius of Fresno, CA Description The Claims Examiner I reports to the Supervisor of Claims . Claims Examiner I is responsible ... for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …exposure to curtailments and/or fines. + Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city officials, etc. to ensure ... to storage and maintain tracking information for each file. SUPERVISOR RESPONSIBILITIES: None MIMIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:...organization skills. + Math skills. + Minimum 2 years claims experience. + Prior PC experience to… more
- Mass Markets (Wichita, KS)
- …the performance and success of your team. This is a management-level position. Prior experience in management, supervisor , or customer service leadership is ... of 15-25 representatives within a complex call center environment. The Customer Service Supervisor I position is responsible for ensuring call quality from start to… more
- Mount Sinai Health System (New York, NY)
- …HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to third party payers ... **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the… more
- Walworth County (Elkhorn, WI)
- Deputy Clerk of Courts - Civil & Small Claims Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/4906244) Apply Deputy Clerk of Courts - Civil ... & Small Claims Salary $21.15 - $28.61 Hourly Location Elkhorn, WI...formal preparation and two to three years of relevant prior experience; or some formal preparation with a minimum… more
- Hitachi, Ltd. (Washington, DC)
- …risk to life or health, discuss the issue immediately and directly with your supervisor . Prior to operating any equipment supplied by H-E Parts International, ... Cost of the assembly operations. + Key contact for warranty, customer claims , and working with the salesforce to solve customer concerns/issues. + Responsible… more
- Texas Veterans Commission (Victoria, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... provided before an interview can be extended.If this information is not provided prior to the interview, your application may be rejected because it is incomplete.… more
- Bozeman Health (Bozeman, MT)
- …Health and all related entities, to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim ... resolve discharged not billed (DNB) or claim edits that are preventing timely claim submission. Monitor denials, returned claims , claim edits, and payer … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative- Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... by management. **Qualifications** + Education: High school diploma or equivalent + Prior experience in a hospital based billing department. + MS Office Suite… more
- Commonwealth of Pennsylvania (PA)
- Park Maintenance Supervisor 1 (Permanent) - Prince Gallitzin State Park Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4906413) Apply Park ... Maintenance Supervisor 1 (Permanent) - Prince Gallitzin State Park Salary...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- US Pacific Fleet (Pearl Harbor, HI)
- Summary You will serve as a ELECTRICIAN SUPERVISOR I in the ELECTRICAL SHOP, PRODUCTION RESOURCES DEPARTMENT of PEARL HARBOR NSY AND IMF. This job is open to + ... obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and...to provide documentation that supports the eligibility and qualification claims made in your resume and assessment questionnaire. You… more