Job Description A bit about this role: We’re seeking a Claims & Payments Director SME to serve as a critical... individual contributor and our lead expert on all claims-related policy matters. This role is a unique blend of deep, hands...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
. Growing together. Work at home! The Senior Medical Director for UnitedHealthcare’s Payment Integrity (UHC PI) Organization... groups, laboratories, and UHC PI vendors. The Senior Medical Director oversees a clinical and coding team, ensuring accurate...
. Growing together. Work at home! The Senior Medical Director for UnitedHealthcare’s Payment Integrity (UHC PI) Organization... groups, laboratories, and UHC PI vendors. The Senior Medical Director oversees a clinical and coding team, ensuring accurate...
latitude for independent judgment and decision-making, the Director of Human Services Payments will report to the Executive... Director within the Division of Accounts Payable (DAP) and oversee the operations of the Human Services Payments Unit...
Enablement Director to join our team. You will play a critical role in securing new business opportunities by contributing... auditing, and professional claims payment integrity auditing is a plus. Strong analytical and problem-solving skills...
Litigation Unit Complex Claims Consulting Director. This is an individual contributor role responsible for the direct handling... range for the Complex Claims Consulting Director is $144,500 to $205,000. Salary determinations are based on various factors...
of all employees are used to their fullest potential. This is a Complex Claims Consulting Director position in the Financial Lines..., preferably in Financial Lines claims. The individual in this position will have responsibility for handling a pending...
) Admin Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage... assistance paid to participants who then receive supplemental security income (SSI) payments, and evaluate & develop...
Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of all incoming... payments and rejections of payment from insurance companies, patients, and third party payers to customer accounts...
and ensure we are billing clean claims. The APC Coordinator will assist in overseeing the outpatient coding queues, training... by the supervisor, manager, and/or director. Reviews and resolves accounts in work queues, including claim edits...
by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Department is at the forefront... of this effort, ensuring provider claims are paid correctly, free of errors, and aligned with contractual terms...
and participate in workgroups/committee meetings and process improvement solutions as required. - Coordinate corrections with claims... payment of claims. - Communicate and coordinate reviews with physician office staff and distribute correspondence related...
performance, and ensure compliance with contractual agreements. Reporting to the Director of Revenue Integrity, this leader...-oriented operations. Preferred: Knowledge of Epic, contract modeling software, or claims adjudication systems...
. We currently have an opening for a Complex Claims Consultant to handle Architect and Engineer liability claims. These claims can... involving insurance claims. This professional liability position will be dedicated exclusively to the handling of claims...
/Duties: Under the direction of the Director of Compliance and Payments, the Intra-City Claims Supervisor will perform the...POSITION ANNOUNCEMENT Job Title: Intra-City Claims Supervisor Salary Grade: 27 $101,809 -$102,809 (Annual) The...
and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned... strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk...
/Duties: Under the direction of the Director of Compliance and Payments, the Intra-City Claims Supervisor will perform the...POSITION ANNOUNCEMENT Job Title: Intra-City Claims Supervisor Salary Grade: 27 $101,809 -$102,809 (Annual) The...