/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including... for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews...
quantity of claims required for the auditing of each examiner. Audits and authorizes payment of claims over examiner's limits...Job Category: Claims Services Job Description: HealthPartners is hiring a Payment Integrity/SIU Technical...
quantity of claims required for the auditing of each examiner. Audits and authorizes payment of claims over examiner's limits...Job Category: Claims Services Job Description: HealthPartners is hiring a Payment Integrity/SIU Technical...
quantity of claims required for the auditing of each examiner. Audits and authorizes payment of claims over examiner's limits...Job Category: Claims Services Job Description: HealthPartners is hiring a Payment Integrity/SIU Technical...
Job Category: Claims Services Job Description: HealthPartners is hiring a Special Investigations Unit (SIU) Medical...) product lines. Primary responsibilities include evaluating allegations, analyzing claims data, reviewing medical records...
Job Category: Claims Services Job Description: HealthPartners is hiring a Special Investigations Unit (SIU) Medical...) product lines. Primary responsibilities include evaluating allegations, analyzing claims data, reviewing medical records...
and future products. Responsibilities Draft and refine patent applications and claims for hardware, software, and AI-related... amendments, and examiner communications) and help prepare draft responses or recommendations under attorney supervision...
Job Category: Claims Services Job Description: HealthPartners is hiring a Special Investigations Unit (SIU) Medical...) product lines. Primary responsibilities include evaluating allegations, analyzing claims data, reviewing medical records...
health compensation and pension exams for service connected issues and claims. The hours at the clinic fall between 8:30... trauma, PTSD, sleeping disorders, eating disorders and anxiety. This is an assessment only position. (B&H Examiner) Role...
), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI). Two (2) years of active experience... check systems, claims processing platforms, data mining, and fraud detection software. Demonstrated knowledge...
. Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes... and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention...
communities. Monitors the processing and reconciliation of incoming electronic medical records, importing of prepay claims... and records, and generating other operation reports related to process of prepay claims. Supports research of prepay and post-pay...
. Coordinate with funeral homes, medical examiner offices, and hospitals to dispatch Recovery Technicians to donor locations. Work... to multitask, adapt, and manage shifting priorities. Customer service, social work, insurance claims or healthcare industry...
; or four (4) years of experience in residential construction, including home inspection, property claims adjuster... International Code Council (ICC): ICC Combination Inspector and ICC Combination Plans Examiner or ICC Certified Building Official...
individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication... to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action...
of distributed operations for fraud prevention, investigation, and claims resolution. Primary Functions: This role actively..., as well as executive leadership. Ensure accurate and timely resolution of member claims as allowed by Regulation...
The Paralegal/Title Examiner is responsible for reviewing property records, legal documents, and public records... transferrable. Liens and Encumbrance Identification: Identify any outstanding liens, judgments, mortgages, or claims on the...
. Other duties include general accounting, general HR functions (hiring, terminating, and training) and claims review. Oversee..., and budgeting. Monitor and review all damage claims in order to assign responsibility for damages. Recommend and implement plans...
of distributed operations for fraud prevention, investigation, and claims resolution. Primary Functions: This role actively..., as well as executive leadership. Ensure accurate and timely resolution of member claims as allowed by Regulation...
misconduct, including the review of claims, clinical documentation, and billing practices. Conducts interviews, collects...), International Classification of Diseases (ICD-10)), medical billing, and claims review processes. Working knowledge of program...