- LA Care Health Plan (Los Angeles, CA)
- Provider Dispute Resolution Claims Examiner II Job Category: Provider Relations Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Dispute Resolution Claims… more
- Cedars-Sinai (CA)
- …for Medicare and Commercial products. Must be familiar with provider dispute resolution . (preferred) Knowledge of claims processing, ICD-10, CPT-4 ... we strive for. **What will you be doing:** The Claims Auditor is responsible for ensuring the accuracy of... Operations for corrections, root cause analysis and appropriate resolution . + Provides analysis and prepares recommendations to Management… more
- HNTB (Atlanta, GA)
- …in the resolution of potential change orders, change orders, dispute resolution , and provide claims , formal dispute , and litigation support. ... Degree + 5 years Project management, contract drafting & negotiation, construction claims resolution or similar experience + In lieu of Juris Doctor Degree, 15… more
- HNTB (Nashville, TN)
- …in the resolution of potential change orders, change orders, dispute resolution , and provide claims , formal dispute , and litigation support. ... or related field + 5 years project management, contract drafting and negotiation, construction claims resolution or similar experience + In lieu of Juris Doctor… more
- Humana (Richmond, VA)
- …managed care contractual requirements for provider relations, such as timeframes for claims dispute resolution , provider complaints, provider ... of claims systems, adjudication, submission processes, coding, and/or dispute resolution + Understanding of service coordination, prior authorizations,… more
- Humana (Oklahoma City, OK)
- …Oklahoma's managed care contractual requirements for provider relations, such as claims dispute resolution within specified timeframes **Use your skills ... trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide... claims systems, adjudication, submission processes, coding, and/or dispute resolution + Understanding of managed care… more
- Amazon (Nashville, TN)
- …new market in Amazon's portfolio. We are looking to hire an Accounts Payable Dispute Resolution Specialist to support the growth of our expanding Amazon ... and SLA * Analyze payment discrepancies, calculate adjustments, and provide accurate resolution * Meet or exceed...and manage multiple cases while meeting deadlines * Track dispute resolution progress and maintain organized records… more
- EAC Network (Central Islip, NY)
- Case Coordinator (Lemon Law) - Long Island Dispute Resolution Center Job Details Job Location 320 Carleton Avenue, Suite 8000 Central Islip, NY, 11722 - Central ... dedicated full time Care Coordinator (Lemon Law) to join the Long Island Dispute Resolution Center. Salary: $25/hour Hybrid Schedule: 9AM-5PM, Monday- Friday… more
- AECOM (San Diego, CA)
- …safety training + Experience writing and negotiating change orders + Experience with dispute resolution and claims Preferred Qualifications + Railroad Grade ... contractors, and other project stakeholders. + Participate in project meetings and provide regular updates to senior management and clients. + Contribute to the… more
- The County of Los Angeles (Los Angeles, CA)
- …and obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration ... a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution ,...process, make appropriate referrals to other agencies, and may provide information about the statutes underlying small claims… more