- Guardian Life (Baton Rouge, LA)
- The **Group Life/Supplemental Health Claims Case Manager II ** is responsible for making timely and accurate decisions on assigned claims through ... decisions while providing superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a… more
- Guardian Life (Baton Rouge, LA)
- …share insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II , you will report to our Leader, Appeals ... Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is… more
- Veterans Affairs, Veterans Health Administration (Alexandria, LA)
- …to determine potential risks. Ensure patient and staff safety, respond to claims of clinical malpractice, address, patient complaints, and comply with federal and ... actively pursuing licensure (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA… more
- Highmark Health (Baton Rouge, LA)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more