now implementation experience of solutions configuration and customization for all components of the ServiceNow GRC product and Audit... Ability to assess vendor security within Compliance and Risk applications Ability to leverage ServiceNow GRC tools to track monitor...
and webinars. Review, audit and respond to conditional payment notices and demands. Lead projects to ensure compliance... where all employees feel included, empowered and enabled to perform at their best. Corporate Claims is creating an operations team...
in a clear and concise manner into the AR system. Compliance with State and Federal Regulations. Audit, research... Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution. Adhere...
in a clear and concise manner into the AR system. Compliance with State and Federal Regulations. Audit, research...: Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution. Adhere...
. Demonstrated ability to solve problems independently or as part of a team. Knowledge of and compliance with confidentiality... to leadership via monthly meeting, presentations and reports. Audit authorization performance by registration staff across the...
for Partnership Health Center. Representative Examples of Work Prepares and codes claims, scans into database, and enters into CSA.... Matches invoices to purchase orders and packing slips when processing claims. Assists department managers with the...
and capitation reports, risk sharing, claims timeliness, pharmacy utilization, bed day utilization, encounter data and audit... and finalize all assigned contracts which may be primary care, specialist, ancillary, hospital, group/IPA as well as ensure the...
activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert.... Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts. Conduct quality assurance...
, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions..., procedures, and process flows to ensure compliance with relevant regulatory and organizational guidelines. Ensure Associate...
I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist KNOWLEDGE, SKILLS, ABILITIES To perform... directives; ensures appropriate levels of control are established to satisfy audit/review requirements; and facilitates revenue...
of all claims from inventory listing are supported by payment, denials, or write-off's according to policy. Audit patient accounts.... Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staff Confirm all claims...
and growing workforce that still feels like home. If you are an A/R Specialist with experience working denied claims... full portal access for the insurance payers worked Comprehensive employee benefits What you'll do: Conducts audit...
of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Audit specified... number of records per coder as defined in the system coding audit plan. Prepare audit reports that are issued to key stakeholders...
of all claims from inventory listing are supported by payment, denials, or write-off’s according to policy. Audit patient accounts.... Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staff Confirm all claims...
Unemployment Compensation (UC): Reviews claims, maintains UC database to audit charges and reconcile monthly UC invoices. Works... and federal and state regulations, including compliance responsibilities for process documentation and controls. Audit...
vocational services and workers' compensation claims management with strong interpersonal and coaching skills. The position works... and, when necessary, take appropriate compliance management action. Identify and promote the need for training and the...
, and compliance with employee documentation required by HR and regulatory agencies. Indirectly manages and supervises BOS role. In... conjunction with the Area Financial Specialist, works with care center employees to address payroll time and mileage discrepancies...
application of club policies, procedures and compliance. We strive for flawless execution and hold ourselves accountable. Act... claims. Supports club talent acquisition efforts by, among other things, ensuring the in-club hiring table...
benefits. Ensure compliance with all benefit and retirement plans, including up-to-date Plan Documents, compliance with IRS... and vendors to analyze utilization and claims data, identify trends/issues and recommend process improvements and/or plan design...
Secrecy Act Compliance Specialist (BSACS) as well as, or Certified Anti-Money Laundering Specialist (CAMS). REV. 7/1/2024... BSA/Compliance department regarding Fraud and AML (FRAML) concerns, provide training/education to members, and acts...