Claims Auditor/Trainer University Health Services IncClaims Auditor/TrainerRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Claims Examiner University Health Services IncClaims ExaminerRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)NVRemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Claims Resolution Specialist University Health Services IncClaims Resolution SpecialistRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Financial Services Claims Adjuster Assurant IncFinancial Services Claims AdjusterNV$19.08–$30.53 / hourA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Named a Best/Great Place to Work in 14 countries and awarded the Fortune America's Most Innovative Companies recognition, we bring together top talent around the world.
NewField Property Claims Adjuster: Reno, NV Farmers Group, Inc.Field Property Claims Adjuster: Reno, NVReno, NVRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Senior Claims Manager, Remote - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Manager, Remote - CA Workers'''' CompensationNVRemote$135,000–$145,000 / yeargain buy-in from our insureds regarding the direction each claim is taking, develop a strategy of how to best mitigate the potential loss through interaction with the claimant, and making sure that light duty jobs are available for quick return to work. We need someone who has the ability to help and direct when needed, a group of strong, carefully chosen senior level adjusters to: focus on fresh, creative, and quick approaches on every claim resulting in proactive claim resolutions.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsNVRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Claims Examiner 1 Renown HealthClaims Examiner 1Reno, NVLicense(s): Certification(s): Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Minimum Qualifications: Requirements - Required and/or Preferred Education: Must have working-level knowledge of the English language, including reading, writing and speaking English.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalSparks, NVManage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits. Support the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims.
Claims Adjuster Trainee Allstate Insurance CompanyClaims Adjuster TraineeNVAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTECarson City, NVRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationNV$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTECarson City, NVRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselNV$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Claims Specialist Recology IncClaims SpecialistNVThe role of Claims Specialist: Under general supervision, provides support in the administration of workers'''' compensation claims, auto liability claims, general liability claims, and the maintenance of driver qualification files. Assists in the management of workers'''' compensation claims, auto liability claims, and general liability claims, including intake, documentation, investigation, and follow-up to ensure timely resolution.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterNVRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Insurance and Claims Specialist Renown HealthInsurance and Claims SpecialistReno, NVLicense(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Position Purpose The Insurance and Claims Specialist will review and correct claim errors ensuring accurate, timely claim submission and account follow-up to assigned payors and reimbursement on first claim submitted.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteNVRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Workers Compensation Claims Examiner | SIP Required Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | SIP RequiredNVRemote$80,000–$100,000 / yearPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Claims Team Lead I Workers Compensation I NV experience required Sedgwick Claims Management Services, Inc.Claims Team Lead I Workers Compensation I NV experience requiredNVPRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
WC Claim Associate I LevelUP CCMSIWC Claim Associate I LevelUPReno, Nevada$21–$23 / hourIn simple terms: you’ll learn how to help employees who are injured at work navigate the claim process, communicate with people involved, gather information, document decisions, and keep things moving forward—accurately, timely, and with care. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesNV$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
Supply Chain Facility Director JCPenneySupply Chain Facility DirectorReno, Nevada$126,750–$195,875 / yearFull timeCoordinates Logistic Center activities with appropriate Associates in Supply Chain management and other Home Office departments, such as Industrial Engineering, Systems, Inventory Control, Controller, Human Resources, Advertising, Marketing, Construction Services, and Legal. • Education: College degree or equivalent business experience preferred What you get: Our corporate office, located within the exciting new development of Legacy West in Plano, Texas, supports JCPenney stores and supply chain facilities nationwide.
NewADMINISTRATIVE ASSISTANT 2 State of NevadaADMINISTRATIVE ASSISTANT 2Carson City, NV$42,636.96–$61,721.28 / yearTypical duties include maintaining records and files; composing and editing correspondence; data entry; office management; budget monitoring and accounts maintenance; typing and word processing; answering telephones and relaying information; reception; duplicating and distributing materials; preparing for meetings and taking minutes; ordering and stocking supplies and equipment; receiving, sorting and delivering mail; reviewing and processing applications, forms and other documents; operating office equipment such as copiers, personal computers, computer terminals, calculators, facsimile machines, printers, and other equipment; and performing related duties as assigned. Serve as the pay clerk for an agency; review timesheets for completeness, authorized signatures, correct calculation of hours, adequate leave balances, and attachment of required documentation; contact employees, supervisors and staff in the pay center regarding discrepancies and make necessary corrections; batch and enter data in a computerized payroll system; prepare time adjustment sheets as needed.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IINVCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Auditor/Investigator I Qlarant Quality Solutions IncAuditor/Investigator INVCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
Insurance Sales Representative Summit Business GroupInsurance Sales RepresentativeReno, NevadaWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Configuration (Systems) Analyst University Health Services IncConfiguration (Systems) AnalystRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Minimum 5 years' experience within the healthcare industry with at least 3 years prior experience in claims processing, computer operations, data analysis, data reporting, database management and creation of custom reports.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NV$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
NewSr Financial Assistance Specialist Renown HealthSr Financial Assistance SpecialistReno, NVExperience: Requires, at a minimum, to have two years experience in commercial medical insurance benefits and eligibility verification, Medicaid screening, applications and/or eligibility, medical financial counseling experience, medical claims processing knowledge, hospital Business Office follow-up experience, and/or professional office with customer service financial interaction experience. The responsibilities of the Sr Financial Assistance Specialist include but is not limited to the following: Facilitate the application process for financial assistance with all applicable and appropriate patients including pre-admission, bedside visits while in-house, and follow up after discharge through on site or field visits.
Transplant Financial Coordinator Renown HealthTransplant Financial CoordinatorReno, NVPosition Purpose The Transplant Financial Coordinator, in collaboration with the social worker is an advocate on behalf of patients and families and is responsible for obtaining detailed patient insurance benefit and related financial information for all aspects of the transplant process, including but not limited to, the evaluation, inpatient transplant surgery, prescription drugs and follow-up outpatient visits. Nature and Scope The major challenge to this position is to professionally and diplomatically work with and communicate positively with patients of all ages, their families and physicians regarding financial matters and ensures system documentation reflects the correct billing information.
Patient Access Representative - UNR Primary Care-Moana Renown HealthPatient Access Representative - UNR Primary Care-MoanaReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Rep-Cosmetic Med Svcs Renown HealthPatient Access Rep-Cosmetic Med SvcsReno, NVThe incumbent is responsible to assist the manager in daily duties which include but are not limited to coordinating PAR work schedules, maximizing provider productivity, tracking daily revenue, processing daily batch/deposits, resolving billing inquiries, ordering supplies, performing inventory audits, facilitating direct mail projects, coordinating weekly events and participating in external marketing events (health fairs, expos, medical groups, etc) when needed. This position ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and accurate charge order entry as well as maintaining appropriate referral information for acupuncture, plastic surgery and dermatology patients, collecting all monies due on procedures performed in office at time of service while informing patient of payment expectation and any pre-procedure protocol prior to appointment.
Patient Access Representative Renown HealthPatient Access RepresentativeReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Medical Group Summit Sierra Renown HealthPatient Access Representative - Medical Group Summit SierraReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Center C Medical Group Renown HealthPatient Access Representative - Center C Medical GroupReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Regional Lab & Imaging Renown HealthPatient Access Representative - Regional Lab & ImagingReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Medical Group Robb Renown HealthPatient Access Representative - Medical Group RobbReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Night Shift Renown HealthPatient Access Representative - Night ShiftReno, NVThis position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc. The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff, and other healthcare providers in the accurate collecting of demographic, clinical, and financial information in person or via telephone interviews.
Patient Access Representative - Urgent Care Ryland Renown HealthPatient Access Representative - Urgent Care RylandReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Maternal-Fetal Medicine Renown HealthPatient Access Representative - Maternal-Fetal MedicineReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
Patient Access Representative - Heart Institute Imaging Renown HealthPatient Access Representative - Heart Institute ImagingReno, NVExplaining and obtaining signatures on admission, clinical and financial forms Collecting accident information Identifying all insurance payer sources Identifying payer order sequence Verifying insurance eligibility Obtaining insurance notification Charge order entry processing Determining estimated cost for services being rendered Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patients families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.
NewConfiguration (Systems) Analyst Universal Hospital ServicesConfiguration (Systems) AnalystReno, NVSpecific area of assignment may require knowledge of specific or multiple products and tools such as technical knowledge of software and hardware selection implementation and testing methodology and knowledge of support organizations, business and workflow process, and quality methods. Minimum 5 years' experience within the healthcare industry with at least 3 years prior experience in claims processing, computer operations, data analysis, data reporting, database management and creation of custom reports.
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistNV$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Supervisory Veterans Service Representative (Coach) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (Coach)Reno, NV$106,855–$141,337 / yearThe Supervisory Veterans Service Representative (Coach) leads an assigned team within the Veterans Service Center (VSC), BEST, or Pension Management Center division through a staff of personnel responsible for providing information, advice, and assistance on all types of Veterans benefits claims administered to veterans and their dependents and for providing outreach services to various stakeholders. The Department of Veterans Affairs operates through the Veterans Benefits Administration a wide network of Veterans services field locations where personnel provide Veterans, their dependents, and survivors with information, advice and assistance regarding the availability and procurement of benefits under laws administered by the Department of Veterans Affairs (VA) and other agencies.
Hse Superintendent Nox GroupHse SuperintendentReno, NevadaNCCER Safety Technology* or other Nox-recognized certification and on path to obtain nationally recognized certification (BCSP, NASP, or other Nox-recognized certification provider) OR in an accredited degree program for occupational safety and health. Prefer at least one year in a supervisory role (can be non-HSE related), and experience with the craft and work activities to be performed on the project (i.e. electrical, welding, crane, and equipment operation, rigging, etc.).
Bodily Injury Adjuster - Represented, Moderate (NV, WA) Remote Allstate Insurance CompanyBodily Injury Adjuster - Represented, Moderate (NV, WA) RemoteNVRemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each casualty claim. Bodily Injury Claims, Business Communications, Claims Evaluation, Critical Thinking, Fraud Investigations, Information Collection, Legal Negotiations, Liability Analysis, Problem Solving, Time Management.
Restoration Sales (Estimating and Marketing) PuroCleanRestoration Sales (Estimating and Marketing)Sparks, NevadaWe operate with a ‘servant-based leadership’ mindset and seek to create an environment where our team members can grow both professionally and spiritually through serving our customers, communities, and each other. While our team-oriented work environment and focus on doing things right make PuroClean a great place to work and an outstanding partner to do business with.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.