SR PC MANAGER CLAIMS jobs in UNITED STATES, United Kingdom

NJ or Schaumburg IL. Talent will be considered for either our Sr. Claims Coverage Counsel role or our AVP, Claims... and skill set relative to the qualifications listed for this position. Basic Qualifications for the Sr. Claims Coverage...

into our office in Schaumburg IL. Talent will be considered for either our Sr. Claims Coverage Counsel role or our AVP, Claims... Coverage Counsel role. Basic Qualifications for the Sr. Claims Coverage Counsel role: Juris Doctor and 6 or more years...

, processes and adjusts claims in accordance with the Service Benefit plan (Federal Employee contract. This is a bargaining unit... status, creates files and processes/adjusts claims related to positive RBAT cases. •Conducts OPL investigation to include COB...

to ours! The Construction Manager Sr. is responsible for leading teams and collaborating with our construction management... Management Construction Manager Sr. Required: High School Diploma/GED; minimum of eight (8) years’ related experience...

of appealed denials and follows up with third party payors in order to drive claims to resolution. 6. Identifies coding.... · Certified Case Manager (CCM) or Legal Nurse Consultant Certified (LNCC) certification preferred · Position requires excellent...

Strong knowledge of third party administration/claims management business and technology PC literate, including Microsoft Office...Description: **This position is Contract to Hire and Open to Remote** MANAGER'S NOTES: Bachelor's degree...

and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques and files claims for warehouse.... Attends training and completes learning modules requested by manager and acquires continuing education credits. Maintains...

course of action necessary and communicates same to the PL territory manager and team lead. Handle incoming correspondence.... Strong interpersonal, organizational, and time management skills. Must have strong PC skills including strong excel skills. College...

Medical Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts... to physicians under the direction of the Coding Operations Manager or Quality Management personnel. Work Hours: Full-time, Tuesday...

Medical Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts... to physicians under the direction of the Coding Operations Manager or Quality Management personnel. Work Hours: Full-time, Tuesday...

is looking for an amazingly talented Sr. Contracts Manager to join our team! In this role you will get to lead a team and manage all contracts..., excellent interpersonal skills. Working knowledge of PC software packages typically associated with contract administration...

. This is a working supervisor position. This position will oversee the schedule of Sr. MAs. This position will work in correlation... with RN supervisor and RN manager working to ensure quality of care by performing and reviewing competences and implementing...

TITLE: SR INVESTIGATOR STATUS: EXEMPT REPORTS TO: FRAUD PREVENTION AND RISK INVESTIGATIONS MANAGER DEPARTMENT: FRAUD... investigation and processing of deposit, loan or card fraud, dispute claims according to Visa Regulations, AML reporting...

underpayments and prepare accounts for escalation to the payers in order to drive account resolution. Resolve claims in a timely... manner by completing appeals as needed or driving materials and accounts through the Plan Manager to the Payer. ESSENTIAL...

to establish the contract management framework and project specific procedures for new and existing projects. Oversees Sr. Manager... with commercial strategy development to address change orders, claims, and disputes. This role will work with project teams...

projects. Oversees Sr. Manager Contract Administration and Sr. Contract Administrator. ESSENTIAL FUNCTIONS: Directs..., systems support, and assist with commercial strategy development to address change orders, claims, and disputes. This role...