Search Results: 27,319 vacancies
Trilogy Home Healthcare Fort Myers - PRE-CLAIM REVIEW / BILLING SPECIALIST HOME HEALTH (Onsite)
Full Time position available .
***This is NOT a Remote or Hybrid role and requires daily in office presence***
Love Where You Work!
Trilogy Home Healthcare...
Claims
Full time
Work experience placement
Home office
Skills: Understanding of Medicare rules and regulations.
Understanding of managed care as it relates to benefits and authorizations.
Advanced MS Office experience.
Strong verbal and written communication skills.
Education: min. HS diploma or GED equivalent
...
Claims
...Insurance - Workers Comp Claims Rep - Sanford, ME
Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .
REMOTE WORK FROM HOME AVAILABLE
Investigate, negotiate, and resolve workers compensation indemnity claims...
Claims
Remote job
Work from home
...Insurance - Workers Compensation Complex Claims - Medical - Palm Coast, FL
Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .
REMOTE WORK FROM HOME AVAILABLE
Seeking individual with at least 3 years experience...
Claims
Remote job
Work from home
...that are exploited.
Responsibilities:
Revise immigration forms.
Draft/revise legal documents.
Ensure all cases are reviewed promptly and adhere to the firm’s standards.
Communicate and collaborate effectively with other team members.
Participate in...
Suggested
Full time
Shift work
Monday to Friday
...Position Purpose: The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, special investigations, claims reviews and / or other program integrity initiatives such as requests for information...
Claims
Contract work
For contractors
...division goals are met and high-quality service is maintained. Reviews engineering plans, design standards, and analyses. Prepares reports... ...acknowledge the above statement
02
If you are claiming Veteran's Preference, please check category of eligibility...
Claims
Holiday work
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Christmas work
Bank staff
New year
Local area
Flexible hours
Monday to Friday
...Senior Counsel, Litigation & Claims
About the Company
Rapid-growing insurance brokerage firm
Industry
Insurance
Type
Privately Held
Founded
2011
Employees
1001-5000
Categories
Insurance
Consulting & Professional Services
Financial...
Claims
Contract work
Relocation
...Clinical Review RN
5297 W Copans Rd, Margate, FL 33063, USA
Req #460
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
Suggested
Qualified candidates must have one to three years prior office or relevant experience. Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors Medical, Records, Healthcare...
Suggested
...Job Description
Job Description The Utilization Review Specialist proactively monitors and assesses clinical documentation and medical... ...appeals reviews
Conducts retrospective clinical review of claims for medical necessity, coding accuracy, medical policy...
Claims
Contract work
Temporary work
...Type: Full Time, Regular
Job Number: 07664
Department: Growth Management Community Development
Division: Building Plans Review & Inspection
Opening Date: 03/01/2024
Closing Date: Continuous
Job Summary
Reviews construction plans for...
Suggested
Full time
Temporary work
Part time
For contractors
Local area
...Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or Gainesville, Florida. This is a hybrid position... ...Provider Contestment Reviewer is responsible for processing claims that have been paid in excess of AvMed s contractual obligation...
Claims
Contract work
Remote job
Flexible hours
Shift work
...daily activities of assigned operational section (building plans review or building inspections) in the Building Services Division of... ...acknowledge the above statement
02
If you are claiming Veteran's Preference, please check category of eligibility...
Claims
Holiday work
Permanent employment
Full time
Temporary work
Part time
For contractors
Work experience placement
Christmas work
Bank staff
New year
Local area
Outdoor
Flexible hours
...be compensated on a per case basis as a 1099 independent contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals...
Claims
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...Job Description
Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient... ...rules and regulations and our Client's internal criteria
•Review different lines of business to include Medicare, Medicaid and...
Claims
Remote job
...Description
Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties to make sure that bills are handled and paid in a timely manner.
Additional...
Claims
Holiday work
Temporary work
...RN - Grievance and Appeals Clinical Reviewer
5297 W Copans Rd, Margate, FL 33063, USA
Req #461
Monday, April 29, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare...
...JOB SUMMARY:
The Large Item Review Transaction Specialist is responsible for the meticulous analysis and mitigation of check fraud across all banking instruments, including paper checks and mobile deposits. This role is pivotal in safeguarding the bank's financial...
For contractors
...The SVP for CCAR Liquidity Review is responsible for executing independent review and challenge of the CCAR liquidity workstream, including quarterly internal refresh as well as the review and challenge of the Contingency Funding Plan (CFP).
Responsibilities:
* SVP...
Holiday work
Full time
