- 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
- Medical University of South Carolina (Charleston, SC)
- …policies. Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims . Corrects claims in electronic ... benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical … 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...rules. Shelves all products according to the established inventory system . Reports up any issues or delays. Maintains a… 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 ... completion point. *Conduct interactive interviews; utilize the agency's PC-based eligibility system to obtain and verify client information. *Perform all tasks… more
- Thrifty White Pharmacy (Thief River Falls, MN)
- … Worker Certificate from the Minnesota State College and Universities System approved Community Health Worker curriculum. *Familiarity with local population ... sharing Training & development Vision insurance As a combined Community Health Worker /Pharmacy Technician, you will play a pivotal role in supporting patients in… more
- CAMC Health System (Charleston, WV)
- Job Summary Utilize billing systems to their maximum potential to coordinate and manage the day-to-day functions of billing, and collection of patient receivables. ... 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… 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
- CAMC Health System (Charleston, WV)
- …may include: Greet and register patients utilizing the appropriate software system Explain payment policy and insurance coverage prior to patient registration, ... summary logs for charges, payments, balances due, statistical reports, billing claims , daily deposit transactions and equipment loan-outs. Responsible for answering… 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 ... Human Resources Create and maintain team member personnel information in appropriate systems ; Human Resources Information System (HRIS), timekeeping system ,… more
- MedStar Health (Washington, DC)
- …information according to policy. Brings to the attention of a pharmacist any claims requiring overrides. Troubleshoots insurance claim rejects and follows up on ... pharmacy in order of priority. Change priorities of bedside prescriptions in pharmacy system . Performs data entry of new prescriptions in pharmacy system ,… more
- County of Los Angeles, CA (Los Angeles, CA)
- …problems of mental or emotional adjustment and the use of techniques of family systems therapy. You MUST meet the above requirement(s) in order to be appointed to ... A valid, active license as a Licensed Clinical Social Worker issued by the State of California Department of...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- San Manuel Band of Mission Indians (Highland, CA)
- …machines. Utilizes various resources such as surveillance, slot recall data and slot systems to make proper determinations when resolving claims and disputes. ... operation of up to 7,500 electronic gaming devices. Ensures the slot systems are operating effectively and efficiently, working with Information Technology to… more
- Kaiser Permanente (Baldwin Park, CA)
- …and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a ... areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost… more
- City of Tualatin, OR (Tualatin, OR)
- …ledger. Analyzes and reconciles City ledger activities between financial accounting systems . Prepare basic monthly financial statements of assigned funds and assist ... computer. Recent and extensive experience with a mainframe based financial system . Experience with financial software, which has many integrated software modules… more
- Big I South Carolina (Mount Pleasant, SC)
- …calls and correspondence regarding new or existing insurance policies and service all claims which include regular and after-hour claims . Work with new clients ... details of inquiries, comments, and actions taken in the agency management system . Collaborate with team members, mentor staff, provide expertise and answer… 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
- Pennsylvania Medicine (Philadelphia, PA)
- …to discharge. Maintain communication with ambulatory based clinical pharmacist, social worker , discharge and specialty pharmacy program team members as needed to ... obtain complete, accurate financial information required for claim adjudication. Immediately communicate any issue with coverage to the clinical practice to… more
- UnitedHealth Group (Red Oak, TX)
- …Chronic Care Model visits and reviews the patient's informal and formal support systems , focusing on what patients want to improve and educating them about their ... necessary resources. Communicates these needs to the appropriate person (ie Social Worker , clinic staff, etc.) or addresses them per process Collaborates with the… more
- Baltimore County, MD (Towson, MD)
- …including, but not limited to hearing before boards, commissions, the worker 's compensation commission, and the State and County Office of Administrative ... supervision, handles workers' compensation cases, including reviewing and processing claims , participating in settlement negotiations, recommending loss control strategies,… more
- Contra Costa County, CA (Martinez, CA)
- …Anatomic Pathology procedures and resulting patient samples in Laboratory information systems . Revise cytopathology manuals and procedures. Collect data for cytology ... data Critical Thinking: Analytically and logically evaluating information, propositions, and claims Customer Focus: Attending to the needs and expectations of… more
