- Southern California Health and Rehabilitation Program (Lynwood, CA)
- …Program Director of any discrepancies of established clinical and administrative systems . Functions as QMHP for assigned Clinicians ensuring Assessments and Problems ... assigned by the Program Director. Reviews all Failed Activities and Failed Claims daily and works with clinicians to resolve discrepancies. Reviews Outcome Measures… more
- City of Kenner, LA (Kenner, LA)
- …events; and registering children for upcoming sports. Reports to the assigned supervisor . Assistant Playground Supervisor (s) Regular Schedule 5:30pm - 9:30pm ... up game clock for games, coaching teams, keeping scores and reporting to supervisor progress. Answers the telephone and questions as needed. Assists with organizing… more
- United States Cold Storage (Hebron, IN)
- …and procedures, including cycle counts, product rotation and recall, training, customer claims and requests, and record keeping. *Participate in the hiring process ... are responded to in the highest professional manner. *Monitor Warehouse Control System (WCS) interface for potential faults created in automation and follow SOP's… more
- Trinity Health (Farmington, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and ... customer complaints, issues, interactions, actions taken and results in appropriate system (s). Tracks trends of customer service encounters and recommendations for… more
- SYUFY GROUP (San Jose, CA)
- …will execute all responsibilities under the supervision of the Recovery and Spa Supervisor . They will manage the appointment system and guide members to ... Proficient computer skills; able to learn new software and systems efficiently. Experience working for or managing a day...and local recordkeeping laws; applicable statute of limitations for claims to which the information may be relevant; and… more
- Walgreens (Milwaukee, WI)
- …as a full-time certified pharmacy technician. Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Under ... Continuous Quality Improvement Program. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up… more
- Walgreens (Sioux City, IA)
- …unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations Counsels patients and answers questions regarding ... strategic business opportunities. Maintains information technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training,… more
- CVS Health (Franklin, TN)
- …claim processing. + Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and accurate… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Sr Claims Supervisor ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Sr Claims Supervisor like you to be a...and appropriate documentation within, and maintenance of, the electronic claims system for caseload, including reviewing daily… more
- Travelers Insurance Company (Reading, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
- Mount Sinai Health System (New York, NY)
- …Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone...System is one of the largest academic medical systems in the New York metro area, with more… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - G/L to join our team! Summary: Supervises claims adjusters ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Kemper (Henderson, NV)
- …skills and the ability to handle increasing responsibility. + Ability to review and handle claims via on-line claims system . + Must apply for and possess, ... that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of...requires management signature, within authority. + Maintains a diary system and ensures that diary systems are… more
- System One (Fairfax, VA)
- …a leading health insurance customer. The individual will review and adjudicate paper/electronic claims , also use automated system processes to send pending ... procedures allowing timely considerations to be generated using multiple systems . Pay rate $23/HR 100% Remote Contract to hire...Remote Contract to hire Must have experience doing 200+ claims daily ESSENTIAL FUNCTIONS + Performs claims … more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride... Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in… more
- Mount Sinai Health System (New York, NY)
- …schedule that is assigned. + Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House ... preferred) + Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems , Clearing House Claim Scrubber and/or any...Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims… more
- TYLin (Philadelphia, PA)
- …and complexity. Together, we enhance conventional designs with smarter, more resilient systems . We provide people with better mobility. We steward precious resources ... Our Construction Management team is seeking an experienced Senior Delay and Claims Analyst to support various infrastructure, rail, water, airport, and transit… more
- Amrize (Nashville, TN)
- …by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... determining necessary repairs, communicating to all relevant parties, and negotiating claim resolution. In reaching resolution, the Claims Investigator will… more
- Raphael and Associates (Rutherford, NJ)
- …appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate ... , ensuring all information is accurately entered into the claims management system . You will play a...included (claimant info, loss date, incident description). + Enter claim details into the system , including policy… more
- Centene Corporation (New York, NY)
- …on workplace flexibility. **Position Purpose:** The position will supervise all claims related pass-through billing with (3) direct reports. + Ensures assigned ... departmental guidelines. Prepares, reviews and reconciles information on accounting system related to specific assigned area of responsibility. Advises management… more
