- Highmark Health (Concord, NH)
- …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
- HCA Healthcare (Manchester, NH)
- …care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers a ... may vary by location._ Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year, HCA Healthcare and our colleagues… more
- HCA Healthcare (Rochester, NH)
- …invested over 156,000 hours volunteering in our communities. As a(an) Patient Safety Coordinator with Frisbie Memorial Hospital you can be a part of an organization ... organization. We are looking for an enthusiastic Patient Safety Coordinator to help us reach our goals. Unlock your...in FMEA (Failure Mode and Event Analysis) + Leads investigations for serious adverse events + Participates on Hospital… more
- Hannaford (North Conway, NH)
- …best in class service, healthy business partnerships, profit analysis and investigations . DUTIES AND RESPONSIBILITIES * Assist the Asset Protection Department in ... and programs. * Maintain extreme confidentiality of all related information and investigations . * Assist Regional Asset Protection Manager in training new Asset… more
- Cardinal Health (Concord, NH)
- …+ 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 (Concord, NH)
- …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 (Concord, NH)
- …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