Job Category: Finance Job Description: A Day in the Life: The Subrogation Analyst is responsible for a variety... of administrative and analytical duties associated with subrogation operations. This role supports the subrogation team by creating...
. The Risk & Insurance Analyst assists in general operations of the organization’s insurance management program. Coordinates... guidance and advice to staff across the organization who require insurance coverage or who need to file a claim...
Why Valvoline Global Operations? At Valvoline Global Operations, we’re proud to be The Original Motor Oil..., but we’ve never rested on being first. Founded in 1866, we introduced the world’s first branded motor oil, staking our claim...
Overview: Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift... claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing. Participates...
Epic Professional Billing Analyst Job Summary: We are partnered with a reputable healthcare network on their search... for a Epic Professional Billing Analyst. The Epic Professional Billing Analyst is responsible for configuring, maintaining...
Job Description: Overview Background in revenue cycle management, financial operations, or Clinical Documentation... Integrity, the Revenue Integrity RN Analyst plays an important role in a high-profile group tasked with improving revenue...
Overview: Background in revenue cycle management, financial operations, or Clinical Documentation Improvement (CDI..., and total reimbursement. Under the direction of the Director of Revenue Integrity, the Revenue Integrity RN Analyst plays...
Job Description: Job Overview The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy... Financial Analyst extracts and validates data from various information systems and provides actionable information...
operations and attempts to license non-compliant vendors. Other duties that may be assigned. Qualifications PREFERENCES...'s military service, and wish to claim veterans' preference, please attach the appropriate documentation substantiating your claim...
. Growing together Candidate will provide Accounting support on a Production operations team for Claim platforms. Candidate... will have oversight on claim accounting financial system processing, including resulting accounting entries fed to the general ledger...
, manage, and resolve escalated and complex global issues for Claims/Calls, PSS, and health plan back-office operations. The... and complex global issues for Claims/Calls, PSS, and health plan back-office operations. The Plan Sponsor Liaisons serve...
. Growing together Candidate will provide Accounting support on a Production operations team for Claim platforms. Candidate... will have oversight on claim accounting financial system processing, including resulting accounting entries fed to the general ledger...
, governmental and all third party regulations, including claim submission, coding accuracy and documentation to support billing... Administration & Operations Compensation Grade Profile Supervisor; Senior Associate (24) Time Type Full time Duration...
, governmental and all third party regulations, including claim submission, coding accuracy and documentation to support billing... Administration & Operations Compensation Grade Profile Supervisor; Senior Associate (24) Time Type Full time Duration...
random audits of claim payments to ensure payer compliance with managed care agreements. Support special projects, including... claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities. Build...
scoring algorithm and monthly updates of MercyCare risk scores to support reserving. Support prioritization of pended claim... Waiver survey. Auditing of operations as needed, such as an investigation of duplicate claims, Medicaid pricing or fee...
. Support prioritization of pended claim processing during Q1 of each calendar year for risk adjustment optimization. Assist... survey and the 1332 Waiver survey. Auditing of operations as needed, such as an investigation of duplicate claims, Medicaid...
/contracts to assist third party vendor(s) with update and maintenance of core claim and ancillary systems. Assists with UAT... of business programs and program enhancements ensuring all end-to-end operational impacts assessed requirements defined operations...
current on fraud related matters as they relate to bank operations, through ongoing training and development programs. Assist... in the overall operations of the department and program oversight. ESSENTIAL DUTIES AND RESPONSIBILITIES: Investigate...
functional team (Assembly, Field Operations, Service) Systems to be used: Stellantis Global Claim System (GCS) SAS... beyond what is needed for claim review, and a program that connects assembly plants with dealers experiencing warranty issues. The specialist will use...