Job Category: Quality Assurance Job Description: The QA Engineer is responsible for ensuring the quality, safety..., Hardware & Operations, this full-time, on-site role in Smyrna, GA will drive QA processes for the company's water monitoring...
. Self-funding can incur risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed... from QA perspective and follow-up with solutions Execute manual testing Run the tests in the Dev and QA environments...
, coaching and guidance to team of software QA professionals. Maximize the capability and capacity of resources to deliver high... objectives Lead change initiatives and develop strategies to support change in engineering and QA processes and strategy...
: Third Party Administrator Services Enhance Health and Public Safety Services Claims Processing Services and Solutions...+ years relevant QA experience, 1 - 2 years supervisory/management experience Working Conditions Office Setting The...
Receivable section of the Duke Hospital Business Office to include the processing of third-party claims and the maintenance... denials and late insurance claims information as required. Investigate special collection problems and confer with patients...
of claims, and complies with risk management related standards. Promotes patient safety, quality care, and minimizing the loss... or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information...
research on claims and complex coding cases that require research Provide feedback/support for client and/or senior leadership... such as appeals, QA, Second Set of Eyes, True Positive Rate Re-review, training, Root Cause, Clinical Program Optimization, Issue...
as the liaison for claims issues and all other communication, Create and analyze system QA reports to ensure the integrity... requires in-depth knowledge and understanding of claims processing functions. Ability to analyze and interpret fee schedules...
as the liaison for claims issues and all other communication, Create and analyze system QA reports to ensure the integrity... requires in-depth knowledge and understanding of claims processing functions. Ability to analyze and interpret fee schedules...
strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk...: Underwriting, IT Development, Operations, Portfolio Management, Claims Executive Visibility: Regular presentations to Operations...
and poultry products. Collaborate with cross-functional teams (Marketing, Nutrition, QA, R&D, Insights/Innovation) to support... product development and market readiness. Monitor regulatory updates and assess impacts on products, claims, and labeling...
management of significant project events such as project successes, issues, injuries, client relations, potential losses/claims..., disability, veteran status, marital status, or based on an individual's status in any group or class protected by applicable...
are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program... review prior to return to the client. Serves as an additional level of QA and clinical knowledge/review for cases...
to X12 Transmission Conducts QA and Testing on EDI applications Develop and execute Test scripts related to X12... regarding EDI issues with encounter claims and trading partner activities Management of catalog of EDI document types...
strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk...: Underwriting, IT Development, Operations, Portfolio Management, Claims Executive Visibility: Regular presentations to Operations...
labeling for all red meat and poultry products. Collaborate with cross-functional teams (Marketing, Nutrition, QA, R... on products, claims, and labeling requirements. Research and interpret regulations to address internal and external customer...
management, risk analysis and mitigation, claims support, compliance, and dispute resolution. We partner with the public sector... management team in analyzing critical path construction schedule issues. Perform QA/QC on contractor's schedule submittals...
Full-Service Reviewer (QA Analyst) On behalf of a leading national restoration company with over 300 franchise... locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to join their remote Claims...
, vendor invoicing and claims issues. Coordinates with back office the audits, reconciliation and other processes that govern... the regular deliverables such as vendor invoices, QA, transaction processing Provides service support related to the...
, and operations team · Abides by the Standards of Ethical Coding as set forth by AHIMA · Maintains appropriate QA/QI... experience in auditing outpatient facility claims. Advanced knowledge of CPT,, HCPCS, ICD-10 coding and CMS billing policies...