Director of Patient Claims Management

Overview of the RoleReporting to the Assistant Vice President of Quality and High Reliability, with a matrix reporting structure to the Vice President for Risk Management Services, the Director of Patient Claims is responsible for steering, designing, executing, and sustaining the Risk Management Program aimed at mitigating the frequency and severity of...

Job SummaryThe Director of Risk Management has broad responsibility to protect the hospital's assets from loss. Key responsibilities include:Maintaining confidentiality of all patient and business information.Risk Identification and Evaluation.Risk Reduction.Contract preparation.Claims Management.Loss Control and Prevention.Committee...

Job SummaryThe Department of Transportation is seeking a highly skilled and experienced Director to lead the Workers' Compensation Program Management team. As a key member of the Office of Human Resource Management, this role will be responsible for developing and implementing policies, procedures, and programs to ensure the effective management of workers'...

Participates in decision making with the Associate Director, Assistant Director and other OPM senior staff concerning major health benefit coverage issues affecting both OPM and the PSHB Program. Supports Postal Service Insurance Operations (PSIO) and the Office of the General Counsel (OGC) in legal suits relating to disputed claims appeals. Provides PSIO...

Job DescriptionJob Description Position: Claims SpecialistHours: 9am-5:00pm, Monday-Friday Company Profile:Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new...

Position Overview for Case Administrator II The U.S. Court of Federal Claims is seeking a dedicated professional to fill the role of Case Administrator II. This position plays a crucial role in the efficient management of court cases and supports the judicial process. Key Responsibilities: Oversee the processing and management of case files. Assist in the...

Job OverviewThis role is situated within the Department of Employment Services (DOES), specifically in the Office of Unemployment Compensation, Benefits Division. The primary responsibility of this position is to perform comprehensive claims evaluations, technical assessments, and adjudications to ascertain eligibility for unemployment benefits filed in the...

Job DescriptionJob DescriptionHealthcare Legal Solutions LLC is currently seeking an experienced Healthcare Claims Analyst to join our team in Washington DC.About Us:Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small,...

Job Description**Job Summary:**The Warranty Claims Specialist at Washington Auto Mall is responsible for the prompt and accurate submission of manufacturer and after-market warranty claims, as well as the resulting collection of all warranty revenues.Key Responsibilities:Establish and maintain productive relationships with manufacturers designated warranty...

Job Summary This position is located within the Department of Employment Services (DOES), in the Office of Unemployment Compensation, Benefits Division. This position conducts detailed claims examination, technical development, and adjudication to determine benefit eligibility for unemployment claims filed in the District of Columbia. Duties And...

Job SummaryA challenging and rewarding opportunity is now available for an experienced Infection Prevention Hospital Director at Clinical Management Consultants. The Director of Infection Control will play a key role in the health system's continued success by implementing policies, procedures, and ensuring patient safety throughout the continuum of care.Key...

General Summary of PositionMedStar Health has an opportunity for a Claims Research Analyst to join our team with the MedStar Physicians' Billing Services department. As a Claims Research Analyst, you will be responsible for analyzing invoices with no adjudication status to facilitate timely reimbursement for the annual billing of provider services. Reviews,...

About the RoleWe are seeking a highly skilled Senior Claims Service Consultant to join our team at Allianz Popular SL. As a key member of our customer service team, you will be responsible for reviewing and identifying claims that do not fall within the scope of policies, ensuring the correct outcome has been made.Key ResponsibilitiesClaims Review and...

OverviewAmTrust Cyber Claims Adjuster Come and join the AmTrust Cyber Team! We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be the AmTrust Cyber Claims Adjuster responsible for: handling first and third-party cyber claims; managing relationships with outside counsel and vendors; and providing timely...

Job Summary:Clinical Management Consultants is seeking an experienced Infection Prevention and Control Director to join our team. As a key member of our organization, you will play a vital role in ensuring the highest level of patient safety and quality care across our health system.Key Responsibilities:Develop and implement policies and procedures to reduce...

General Summary:The Director of Veterans Affairs & Rehabilitation (VA&R) position is located in Washington, D.C. and is eligible for telework. The incumbent is responsible for overseeing the operations of the American Legion’s VA&R Division. Develop policy and activities relative to the Department of Veterans Affairs (VA), Veterans Benefits Administration...

General Summary:The Director of Veterans Affairs & Rehabilitation (VA&R) position is located in Washington, D.C. and is eligible for telework. The incumbent is responsible for overseeing the operations of the American Legion’s VA&R Division. Develop policy and activities relative to the Department of Veterans Affairs (VA), Veterans Benefits Administration...

At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Job Summary The incumbent provides strategic and operational leadership of the Companys property/casualty/bond risk management program and managing the Insurable Risk Management Division. The incumbent is responsible for...

About the RoleAt CommonSpirit Health, we are seeking a highly skilled Medical Insurance Claims Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the timely and accurate processing of medical claims.Key ResponsibilitiesProcess and manage medical claims from receipt to payment, ensuring compliance...

Job SummaryThe Patient Services Director will support the Food and Nutrition Department in developing and executing dining solutions to meet patient and customer needs and tastes. This individual will utilize technical training and interpret government mandated nutritional standards in the healthcare industry to develop healthy menu implementation plans.Key...