- MultiPlan (Atlanta, GA)
- …Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing ... documentation as needed. Assist with, create or enhance internal claim and review recommendations. Communicate with co- workers and management regarding clinical… more
- MultiPlan (Atlanta, GA)
- …provides suggestions for process efficiencies. Uses independent decision making skills to review claims after business hours to meet deadlines. Apply national ... bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most...coding standards and regulations to claims billed. Research and review individual … more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …and other primary payments to ascertain which accounts need to have secondary claims submitted to other payers. Review correspondence and remits via cash ... providers for the past 13 years in a row. The AR Specialist will provide continual and accurate documentation regarding eligibility, authorization, and other… more
- Aerotek (Tempe, AZ)
- …Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and ... **Overview:** **Aerotek has an immediate opening for a Junior Workers Compensation Specialist at the corporate office in Tempe, AZ.** **Job Summary:** Reporting… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. The ... Claims Specialist manages within company standards and best practices complex...standards and best practices complex and problematic, high visibility workers ' compensation claims within delegated limited authority… more
- Crawford & Company (Brea, CA)
- Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- CRC Insurance Services, Inc. (Norfolk, VA)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential functions… more
- Centers for Independence (Milwaukee, WI)
- ** Claims Resolution Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... inquiries via email, in person, and by phone to co- workers , managers, vendors, participants, ICA, and state programs within...ICA, and state programs within a timely manner. 2. Review , analyze, problem solve, and trouble shoot invoice payment… more
- Truist (Whiteville, NC)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** *This position will work on site at ... Employees of Truist Financial Corporation:** All regular teammates (not temporary or contingent workers ) working 20 hours or more per week are eligible for benefits,… more
- RWJBarnabas Health (Lakewood, NJ)
- …documentation is scanned to employee charts; reviews, updates and distributes weekly claims review logs to TPA, clinicians, Directors and senior leadership ... Workers Comp Specialist -Corporate Care at MSC-Full...issues. Essential Functions: + Responds to employer, carrier, and claims handler requests within 24 hours. + Acquires treatment… more
- Brookdale Senior Living (Brentwood, TN)
- …identify red flags and issues of concern. + Tracks employee information related to workers compensation claims in the HRIS system. + Assists community management ... for at least a year. Responsibilities Administers the company's workers compensation program. Works in a team environment, interacting...claims management issues. + Meets with manager to review new and problematic claims , as needed… more
- ManpowerGroup (Ontario, CA)
- …**Contract** **Hybrid** **Pay Range: $45.56 HR** We are seeking a highly experienced Workers Compensation Specialist to join our dynamic team. While County of ... on new claim determinations, including decisions to delay, deny, or accept claims . + Review and authorize litigation and investigation referrals, ensuring… more
- Veterans Benefits Administration (Montgomery, AL)
- …Veterans Affairs, Regional Office (VARO), Veterans Service Center and BEST. The Authorization Quality Review Specialist is an integral part of the VSC and BEST ... through the review and assessment of completed compensation and pension claims . Duties include, but are not limited to: Performs individual quality reviews to… more
- Veterans Benefits Administration (Louisville, KY)
- …This is not a virtual position. Position Description/PD#: Program Specialist (Quality Review and Training) GS-0301-11/12 47120-A/37120-A Relocation/Recruitment ... Office, Fiduciary Hub Louisville, KY. The employee serves as the quality review and training coordinator for the division. Responsible for analyzing data associated… more
- Montana State University (Bozeman, MT)
- …used throughout the year. + WC and SAW / RTW programs, including processing workers ' compensation claims , reporting, participating in claims meetings and ... MUS ) workers ' compensation program retreats and meetings; ensure all worker 's compensation and risk management reporting is completed in an accurate, compliant,… more
- Salt Lake City Corporation (Salt Lake City, UT)
- Position Title: Utilities Development Review Specialist Job Description: Reporting to Utilities Development Review Coordinator, incumbent assists with the ... compliance with related ordinances. Consults with, and provides technical assistance to development review co- workers and other city employees on review … more
- City of New York (New York, NY)
- …is recruiting for (1) one Eligibility Specialist III to function as an Eligibility Worker , who will: - Receive review and maintain a caseload of 25 case per ... BE PERMANENT IN THE CIVIL SERVICE TITLE OF ELIGIBILITY SPECIALIST OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE...Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations and make determination of… more
- Trinity Health (Albany, NY)
- …Assist the Regional Director of Risk Management in the reporting and management of worker 's compensation claims and evaluate the extent and elements of exposure ... fluid exposure incident investigation & reporting. + Monitors reserves and assists Worker 's compensation claims managers in claim settlements and reserve… more
- Trinity Health (Syracuse, NY)
- …**Responsibilities:** **Manages the reporting, review and analysis of Workers ' Compensation claims and litigation.** **Prepares reports identifying trends, ... and transforming healing presence within our communities.** **POSITION SUMMARY** **The Worker 's Compensation Specialist is the subject matter expert for… more
- City of New York (New York, NY)
- …for (4) four Eligibility Specialist III to function as a Group Processing Worker , who will: - Confirm accuracy of data match and referral information for cash ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IN A COMPARABLE CIVIL...SERVICE TITLE ELIGIBLE FOR 6.1.9. The Division of Financial Review and Processing (DFRP) is responsible for the initiation… more
Related Job Searches:
Claims,
Claims Review,
Claims Review Specialist,
Review,
Review Specialist,
Specialist,
Workers