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Q.B.E North America
- New Orleans, LA / Fargo, ND / Houston, TX / 17 more...
Investigates, evaluates and resolves assigned portfolio of complex, high severity property claims emanating from all QBENA business units. Assures timely and accurate reserves. Effective communication and collaboration with Underwriting, Actuary, Legal and Risk. Primary responsibilities Manage a portfolio of complex high severity property claims up to the largest financial level in the organizatio
Posted Today
You know this to be true. The changes impacting health care are adding new complexity and new challenges by the day. Today, new models of care and new networks of providers are emerging to better serve patients and communities. UnitedHealth Group is an innovation leader in creating new levels of system performance and effective levels of diligence and accuracy in billing, reimbursements and audits
Posted 1 day ago
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Primary Accountabilities Efficiently and accurately submit application and issue required number of policies weekly (45%) Utilizing OnBase and ID3 to issue policies Knowledge of all standard product offerings Maintain established turnaround standards based on product type Review, manage and resolve pending policies in ID3 Identify and report any errors Ensure company guidelines are met for all pol
Posted 9 days ago
Responsible for managing the network provider relations and contracting staff Set team direction, resolve problems and provide guidance to members of the team Adapt departmental plans and priorities to address business and operational challenges Interface with claims analyst, claims department, and providers in resolving claims issues Responsible for managing all TennCare Medicaid contract deliver
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortun
Posted Today
The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for assigned provider groups. A Medicare Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical docume
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Audit paid claims data to identify duplicate payments or contractual, billing, and claim processing errors Initiate phone calls to providers, employer groups, and other insurance companies to gather pertinent claim information, such as verification of billed charges, confirmation of services received, and coordination of benefits information Work directly with other departments to enhance and refi
Posted 1 day ago
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Identify patterns of claim payment abnormalities that will lead to new rule development through data and claim analysis Identify patterns of claim payment abnormalities that will lead to one off payment error identification Research new leads for viability Populate client's test file templates and gather all supporting documentation for trend approval Assist on client calls with the presentation o
Posted 1 day ago
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