- Highmark Health (Little Rock, AR)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Cabela's (Little Rock, AR)
- **_POSITION SUMMARY:_** The Asset Protection Coordinator is an hourly position that directly reports to the Market Asset Protection Manager and will maintain and ... environment for our outfitters, customers, or vendors. + Conducts known loss investigations and exception report reviews. + Assists with investigations into… more
- Cardinal Health (Little Rock, AR)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Little Rock, AR)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Little Rock, AR)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Utilities Service, LLC (Conway, AR)
- …utilizing the job behavior observation program and tool. + Conducting incident investigations . + Enforcing strict compliance with all rules and regulations. + ... who desire a reasonable accommodation can contact the ADA Coordinator by calling **###** . We partner with the...who desire a reasonable accommodation can contact the ADA Coordinator by calling ###. We partner with the Department… more
- Arkansas Children's (Little Rock, AR)
- …other established appeal, grievance or complaint procedures. 9. Conducts investigations , mediates, applies corrective actions and manages employee relation issues. ... love, and hope while we champion children." Angela - Parking and Fleet Coordinator "Care, love, and hope for children!" Kathy - Administrative Assistant "When I… more