Claims Compliance Supervisor

POSITION SUMMARY Promotes and maintains the quality and accuracy rate of claims paid by Community Health Group. Conducts pre-disbursement audits for fee for service claims. The Claims Auditor compiles, tracks and trends audit results and recommends suggests training and other improvement ideas. COMPLIANCE WITH REGULATIONS Works closely with all...

Job Details Job Location Corporate Headquarters - Chula Vista, CA Salary Range $24.10 - $27.71 Hourly Description POSITION SUMMARY Promotes and maintains the quality and accuracy rate of claims paid by CommunityHealth Group. Conducts pre-disbursement audits for fee for service claims. The Claims Auditor compiles, tracks and trends audit results and...

Job DetailsJob Location Corporate Headquarters - Chula Vista, CA Salary Range $24.10 - $27.71 Hourly DescriptionPOSITION SUMMARY Promotes and maintains the quality and accuracy rate of claims paid by CommunityHealth Group. Conducts pre-disbursement audits for fee for service claims. The Claims Auditor compiles, tracks and trends audit results and recommends...

POSITION SUMMARY Conducts internal audits of all departments and oversees internal monitoring activities conducted by others to determine that core department activities are in compliance with established management control systems, provides analysis and reports of audits to Compliance Manager and works with Compliance department to implement and monitor...

**Job Title**: Claims Customer Service Representative **Department**: Claims Effective Date: January 12, 2022 **Reports to**: Claims Support Supervisor **Direct Reports**: None **FLSA**: Non-Exempt **Working Conditions**: Normal, no adverse or hazardous conditions. **Primary Purpose**: - To provide high level customer service to PDTs’ clients in...

Job DescriptionJob DescriptionWe are seeking a motivated and experienced Floor Supervisor to join our team. The Floor Supervisor will be responsible for overseeing and coordinating the activities of our floor staff to ensure efficient and exceptional customer service. This role plays a crucial part in maintaining a positive customer experience and...

Job DescriptionJob DescriptionJob Title: Claims Customer Service Representative Department: Claims Effective Date: January 12, 2022 Reports to: Claims Support Supervisor Direct Reports: NoneFLSA: Non-Exempt Working Conditions: Normal, no adverse or hazardous conditions. Primary Purpose:  To provide high level customer service to PDTs’ clients in...

Job DescriptionJob DescriptionJob Title: Claims Customer Service Representative Department: Claims Effective Date: January 12, 2022 Reports to: Claims Support Supervisor Direct Reports: NoneFLSA: Non-Exempt Working Conditions: Normal, no adverse or hazardous conditions. Primary Purpose:  To provide high level customer service to PDTs’ clients in...

The RoleThe Concessions Supervisor position is responsible for supporting all concessions, vending, portable, and in-seat service operations for Legends Hospitality.Company Overview:Legends is a holistic agency that specializes in delivering solutions for legendary brands. We approach each project with our 360-degree service solution. Our Global Planning,...

*** Gathers information and resolves customer concerns presented as a grievance or appeal. Works closely with internal departments and providers’ staff to obtain pertinent information in a timely manner and in compliance with regulatory requirements. Appropriately documents members’ grievances and appeals, the pertinent information related to the...

Join us at Sesame Place and help bring joy, excitement, and lasting memories to people from around the world. We're seeking enthusiastic, dedicated, and hard-working individuals to become our Ambassadors. Come and play an important part on our incredible team today! What you get to do: As a Supervisor for Park Operations, you’ll play a key role in ensuring...

The RoleThe Concessions Supervisor position is responsible for supporting all concessions, vending, portable, and in-seat service operations for Legends Hospitality.Company Overview:Legends is a holistic agency that specializes in delivering solutions for legendary brands. We approach each project with our 360-degree service solution. Our Global Planning,...

*** Supervises the daily activities of Member Services Specialists (MSS) and coordinates daily operations. Acts as liaison between membership, provider, CHG management, and staff on issues related to member representation. Works closely with staff to maintain performance benchmarks within acceptable guidelines. **COMPLIANCE WITH REGULATIONS**: Works...

Looking to build your career and design your future? You have come to the right place.  Overview The primary responsibility of the Customer Service Coordinator is to work with our customers (builders) and homeowners on concerns or issues that arise from prior ILG installations. This individual must be a strong problem solver, superior communicator,...

Status: Regular, full-time, exempt, in-person Schedule: Must be able to work one evening per week until 8 p.m., SBCS has been committed to supporting the well-being and prosperity of San Diego children, youth, and families for over 50 years. SBCS' services and support – based on the strengths of local communities – assist those throughout the region...

As a Subcontracts Administrator at Talent Source, you will be responsible for managing subcontracting activities and relationships within the shipyard environment. Below are the key responsibilities and requirements for this position: **Responsibilities**: - Oversee the procurement of subcontracted services and materials required for shipyard projects,...

THE JOB North Island Credit Union Amphitheatre is seeking is seeking a Schedule/Payroll Administrator who will be responsible for ensuring schedules are completed and departments are appropriately staffed for events. In addition, they are responsible for processing and maintaining payroll records in accordance with Live Nation payroll policies. WHAT...

Job DescriptionJob DescriptionPOSITION SUMMARYMeets the needs of system users by working with the appropriate staff to determine business requirements; gathering information to define and program reports and applications to meet those business needs; providing technical assistance to Information Systems (IS) staff, developing written documentation such as...

Job DescriptionJob DescriptionPOSITION SUMMARYMeets the needs of system users by working with the appropriate staff to determine business requirements; gathering information to define and program reports and applications to meet those business needs; providing technical assistance to Information Systems (IS) staff, developing written documentation such as...

Non-Exempt | $65.86 | Benefits **About CDA**: Child Development Associates, Inc. (CDA) provides families with the resources necessary to achieve self-sufficiency and thrive. Founded by Charlene Tressler in 1974, CDA has evolved from a one-classroom child development center serving 24 children, to a multi-service nonprofit organization serving children...