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- Mount Laurel Township, NJ / Mount Laurel, NJ / Huntsville, AL / 47 more...
Performs analysis on clinical documentation, evidence based criteria application outcome, physician documentation, and complete review of the medical record related to DRG and clinical validation denials Formulates and submits letters of appeal Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current
Posted 1 day ago
Arkansas Blue Cross & Blue Shield
- Little Rock, AR / Wichita, KS / Virginia Beach, VA / 17 more...
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job Summary The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according to divisional standards of quality and productivity. Resolution may include additional investigation or communi
Posted 3 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 3 days ago
Looking for Dynamic Team Members to join our Team!
Posted 4 days ago
American Family Insurance Enterprise Claims
- Kansas City, MO / Las Vegas, NV / Omaha, NE / 46 more...
At American Family Insurance Claims Services, Inc. we believe people are an organization's most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, we're committed to growing a diverse and inclusive culture that empowers innovation that will inspire, protect, and restore our customers' dreams in ways never imagined. American Family In
Posted 5 days ago
Change Healthcare
- Norfolk, VA / Philadelphia, PA / Providence, RI / 47 more...
Responsible for resolution of credit balances, analyzing and researching all accounts appearing on the Credit Balance Report for a possible refund. Works on assignments that are routine in nature, requiring limited judgment. Normally receives detailed instructions on all work. Works under close supervision. Responsibility Meet productivity standards as outlined in client
Posted 6 days ago
A.B. Data, Ltd.
- Palm Beach Gardens, FL / Milwaukee, WI
Seeking experienced Paralegals who are looking for a career change to join our team as a Project Manger in our Class Action Administration Division. Lead new project planning and implementations, and manage day to day operational settlement administration projects Lead project planning and implementation to meet internal and external deadlines. Provide case related client
Posted 10 days ago
Come grow with us! United Tax Service has open positions for a Payroll / Billing / Accounting Specialists. Full & Part time opportunities available 1st shift and weekends. If you enjoy working with numbers you should apply for the position(s). The position is responsible for Payroll Tasks Ensures timely and accurate payroll processing for a portfolio of clients Process ga
Posted 12 days ago
Class Action Claim Administration Project Coordinator A.B. Data, Ltd. Class Action Administration Milwaukee, Wisconsin, United States Efficiently & effectively perform administrative tasks and coordinate with the Project Manager to help organize project phases and schedules, arrange support services, and track progress. Assist with the planning/implementation of project t
Posted 10 days ago
We all know how make or break property appraisals can be! Play an essential role as Appraiser with the City of West Allis Assessor's Office, where you will inspect both commercial and residential properties. As you establish property valuations, you will get the chance to shine by being detail oriented in every facet documentation; photography; sketching software; assessm
Posted 7 days ago
Class Action Claim Administration Project Coordinator The Project Coordinator has an extremely important role ensuring the success of the projects we handle at A.B. Data. As a Project Coordinator, you will work closely with the Project Management team to execute project specific tasks and coordinate alongside the Project Management team to ensure the overall success of th
Posted 10 days ago
At Luxor, we create an innovative and forward thinking culture that our employees love, and our products reflect this. As a manufacturer of innovative workspace product solutions that are sold to the commercial, educational, industrial and other end markets, we are constantly developing functional products that are value priced. Under our Stand Up Desk Store brand, we cre
Posted 11 days ago
Old Republic Surety Company (ORSC) is currently seeking a Administrative Clerk to join its Claims Team at our home in Brookfield, WI . ORSC ranks among the nation's top underwriters of contractors' performance and payment bonds, miscellaneous surety, and commercial fidelity, offering thousands of types of bonds. We are growing across the country which is creating
Posted Today
Change Healthcare
- Chicago, IL / Sioux Falls, SD / Houston, TX / 22 more...
Pharmacy Account Manager Overview of Position As part of Change Healthcare's Pharmacy Benefit Administration (PBA) business unit, the Pharmacy Manager will provide strategic leadership and direction for the delivery of enterprise level support and service activities for PBA's Utah Medicaid client. The successful candidate will act as a liaison, on behalf of PBA, between t
Posted 12 days ago
The Claims Manager (CM) is responsible for providing oversight and leadership for the Claims and OS&D process' for Midwest Refrigerated Transport (MRT) and Midwest Refrigerated Logistics (MRL). The CM is responsible for the reduction of total number and cost mitigation of all OS&D and Claims within MRT & MRL. The CM and their team will need to interact effectively and pro
Posted 12 days ago
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