- ChristianaCare (Wilmington, DE)
- …or RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS… more
- Sarasota County Government (Sarasota, FL)
- …from recent disasters? Then this is the role for you! As the Disaster Grant Recovery Specialist (DGRS) you will support the County with its disaster recovery ... recovery management. + Manage and completes the disaster claims process to include, project validation reviews, expenditure documentation, procurement… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... **What You'll Do:** + Contact accounts to resolve outstanding claims quickly and accurately. + Research and...resolve outstanding claims quickly and accurately. + Research and document collection activities. + Follow processes for… more
- Bridgestone Americas (Brook Park, OH)
- …received daily through electronic, paper or email notification + Submit proof of claims + Respond to requests and inquiries from first and third party partners ... via phone, mail or designated email box + Research issues related to payments, customer requests for verification, etc. + Process Direct Payments + Take payments by… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Program Research Specialist 2 Occupational Category Other Professional Careers Salary Grade ... and report to Unit Manager on all scheduled RAC recovery work; record and track quality metrics concerning these...Code 12204 Notes on Applying Please submit your resume with the subject line: DSUR-Program Research Specialist … more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Research Billing Compliance Specialist ** reviews, adjusts, and reports on clinical trials ... charges and claims representing research while working closely with...Registration and Ancillary hospital departments and third parties. The Research Billing Compliance Specialist is responsible for… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …another level of claim professional and refer on a timely basis. + Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage ... negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life...and direct Company resources for recovery efforts. + May assist underwriting business partners in… more
- Travelers Insurance Company (Walnut Creek, CA)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engage and directs Company resources for recovery efforts. + In order to perform the essential… more
- Travelers Insurance Company (Indianapolis, IN)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engage and directs Company resources for recovery efforts. + Perform other duties as assigned. +… more
- Travelers Insurance Company (Orlando, FL)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... Liability (Premises & Products) Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engages and directs Company resources for recovery efforts. + In order to perform the essential… more
- Trinity Health (Farmington Hills, MI)
- …Resolves claims , conducts formal account reviews, identifies lost charge recovery , analyzes and documents delays and payment variances. Identifies routine issues ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor… more
- Trinity Health (Farmington Hills, MI)
- …Resolves claims , conducts formal account reviews, identifies lost charge recovery , and analyzes and documents delays and payment variances. Identifies systemic ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments. Processes payments as appropriate in… more
- State of Maine, Bureau of Human Resources (Caribou, ME)
- Eligibility Specialist Caribou , Maine , United States | Community & Social Services | Full-time | Partially remote Apply by: May 24, 2024 Apply with Linkedin Apply ... telework with management approval. Job duties: The position of Eligibility Specialist determines initial and continued eligibility for public assistance programs.… more
- Air National Guard Units (Mountain Home, ID)
- …5 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST (SYSADMIN/NETWORK), Position Description Number T5826P01 and is part of the ID 266 ... for changes/improvements. Develops and implements procedures for network backup and recovery . Represents the organization in conferences or with committees to… more
- Air National Guard Units (Kahului, HI)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST (SYSADMIN), Position Description Number D1567P01 and is part of the HI 292 ... risk analysis, accreditation, and certification packages to include disaster recovery plans in accordance with agency requirements. Develops, implements, and… more
- Department of Energy (IN)
- …professional work involving the procurement of supplies, services, construction, or research and development using formal advertising or negotiation procedures; the ... local or foreign governments for furnishing products, services, construction or research and development to the Federal Government Administer contracts by assuring… more
- Commonwealth Care Alliance (Boston, MA)
- …sessions with key providers; orient providers on CCA's policies related to: - Claims and service recovery - Program benefits - Clinical initiatives - ... **Why This Role is Important to Us:** The Provider Relations Specialist is responsible for cultivating, maintaining and strengthening relationships with the… more
- Travelers Insurance Company (Morristown, NJ)
- …or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab ... to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as...Claim Professional to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves.… more
