- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Supervisor | Long Beach, CA (Hybrid) | SIP Required Are ... combination of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** SIP required.… more
- Sedgwick (Ontario, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead ( Supervisor ) - Workers Compensation...and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service… more
- PennyMac (Moorpark, CA)
- …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
- LA Care Health Plan (Los Angeles, CA)
- … is responsible for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted ... requirements. Communicate issues and findings that would affect the audit results. Perform claims audits for all...groups and health plans contracted with LA Care. Timely audit reports presented to supervisor with one… 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
- 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
- Guidehouse (San Marcos, CA)
- …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever… 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
- Sedgwick (Seven Hills, OH)
- …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
- Henry Ford Health System (Detroit, MI)
- …and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation ... and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice President,… more
- Fedcap (South Portland, ME)
- …other routine operations related to compliance. Working in close collaboration with Finance Supervisor (s), the Claims Specialist assist in any or all facets of ... adaptable finance professional to join our team as a Claims Specialist! The hired person will partner with finance...for compliance with funding policies, procedures, and regulations. + Audit and analyze financial activities and data and assist… more
- Penske (Reading, PA)
- …with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability to design, develop, implement, ... draw clear and concise conclusions and identify improvement opportunities. -Manage audit support requests with customers, vendors and related companies -Other… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... 8:00am-4:30pm Virtual: This is not a virtual position. Position Description/PD#: Supervisor Mobility Transportation Specialist /PD99781S Relocation/Recruitment Incentives: Not Authorized… more
- City of New York (New York, NY)
- …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… more
- Transdev (San Diego, CA)
- Safety and Training Supervisor Transdev inSan Diego, CAis hiring a Safety and Training Supervisor .The Safety and Training Supervisor ensures compliance with ... accidents. + Collect data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians or other drivers.… more
- City of New York (New York, NY)
- …for (1) one Principal Administrative Associate III to function as a Data Control Unit Supervisor , who will: - Perform final review and signs off on cases prepared by ... records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC,… more
- City of New York (New York, NY)
- … findings with an objective for maximizing potential Federal and State reimbursement claims . - Discuss critical issues with supervisor and staff and suggest ... respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is… more
- Mohawk Valley Health System (Utica, NY)
- …- Full Time - Days Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding ... billing, compliance and revenue cycle teams to ensure proper claims submission and resolve coding-related claim rejections and denials....coder, with at least 1 year in a coding audit or educator role. + In-depth knowledge of compliance… more