- Dollar Tree (Chesapeake, VA)
- Summary of Position (Job Purpose) - Major purpose and functions of the position. The Claims Recovery Analyst develops and submits requests for recovery on ... of loss; submitting subrogation notice, tender and lien documentation to preserve claims recovery rights; etc. * Work with various internal business partners to… more
- Insight Global (Norfolk, VA)
- …Our client is seeking two contract-to-hire professionals to join their team as Claims Investigators / Process Specialists. These roles are pivotal in ensuring the ... accuracy and efficiency of claims processing. Key Responsibilities: -Develop Solutions: Create and implement processes to address overpaid claims challenged by… more
- Elevance Health (Norfolk, VA)
- … Recovery Specialist ** **II** is responsible for the discovery, validation, recovery , and adjustments of claims overpayments. May do all or some of ... **Financial Operations Recovery Specialist II** **Location:** Virtual/remote opportunity....may include, but not limited to:** + Audits paid claims for overpayments using various techniques including systems-based queries,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Revenue Integrity Specialist is responsible for performing audits of itemized charges versus the ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- CDM Smith (Newport News, VA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and/or claims department . Prepare written reports for finance and claims departments including explanations for recovery of money and appropriate regulatory ... With direction from the Director, the Nurse Auditor/Revenue Integrity Specialist is responsible for auditing itemized charges versus the...agencies . Educates provider services, claims , recovery , finance and other department staff… more
- Elevance Health (Norfolk, VA)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more