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Under the direction of the Asset Manager/Central Services Manager (CSM), the Claims Processing Specialist will work directly with property owners and staff to assist them with a variety of tasks that include: renewals of their affordable housing contracts, determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages and extended vacancies.
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CGI Federal's Housing Compliance team that partners with a local public housing authority and the U.S. Department of Housing and Urban Development (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY.
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The Risk Manager position exists to providesupport for the direct processing and review of risk management and patientsafety issues. Once the RCA has been conducted, the risk manager facilitates a debrief session after an SRE/SAE, coordinates with leadership staff to conduct a RCA and develop a measurable action plan.
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The Risk Manager will coordinate the risk management & patient safety program, including participation in clinical risk management, claims management, patient and visitor safety program administration and education for this facility.
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Receives general supervision from the Workers' Compensation Manager and functional supervision from a Senior Claims Examiner. Two years of Workers' Compensation claims processing experience.
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LAUSD is currently seeking well-qualified candidates to fill a Workers' Compensation Claims Processing Specialist position. A Workers' Compensation Claims Processing Specialist participates in the claims processing activities of the Workers’ Compensation Section of the Division of Risk Management and Insurance Services.
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State government/public sector experience on IT Projects in health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytics, data warehouse, etc.
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Coordinate the processing of warranty claims with Warranty Manager/Warranty Admin and administer warranty and policy adjustment in the most fair and honest manner for the customer, dealership and vendor.
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The Medical Billing Manager is responsible for billing all third-party payers, claims processing, payment posting, aged claim resolution, and charge posting. Manages the A/R, works rejected claims, and provides necessary follow-up to ensure successful claim processing.
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Certified Professional in Healthcare Risk Management (CPHRM), Certified Professional in Patient Safety (CPPS), Certified Professional in Healthcare Quality (CPHQ), or equivalent required. In-depth knowledge of r isk management processes including risk identification, risk reduction, mitigation, claims management, and contract review.
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You will work with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary to prepare testimony in pending litigation.
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Certified Professional in Healthcare Risk management (CPHRM) or Certified Professional in Patient Safety (CPPS) certification on hire or within 6 months of hire required. Certified Professional in Healthcare Risk Management (CPHRM) or Certified Professional in Patient Safety (CPPS) required at hire or within six months of hire (if CPHRM certified at hire, would expect CPPS completion within first year.
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License/Certification Certified Professional in Healthcare Risk Management (CPHRM), preferred. The Manager of Risk Management is a key member of the leadership team and will be responsible for assisting the Director of Risk Management in leading our hospital's Patient Safety-Risk Management Program.
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Familiarity with Waystar or similar revenue cycle management software for claims processing and denials management. 6 years of experience in Medicare claims processing and denials management.
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Under the direction of the Director of Sterile Processing, the Sterile Processing Manager will assist in the operation of the department by exerting a leadership role in carrying out the Mission, Goals and Objectives of the hospital, focusing on the patient, physician, employees and customers.
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