Average salary: $125,056 /yearly
More statsSearch Results: 55 vacancies
GVRA:
The Georgia Vocational Rehabilitation Agency operates five integrated and interdependent statutory programs that share a primary goal - to help people with disabilities to become fully productive members of society by achieving independence and meaningful...
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Full time
Contract work
Second job
Local area
Night shift
Weekend work
Monday to Friday
...employees/managers with information and assistance regarding potential leaves
- Produce and track all required documentation
- Assess, adjudicate, and track all FMLA claims and available time
- Coordinate leaves with Short Term Disability Vendor and Workers’ Compensation...
Suggested
Full time
Temporary work
Local area
...appointees. Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. If hired, a background...
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Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Trial period
Flexible hours
...required: CCS, CCS-P, CPC, CPB
~ Billing, coding, revenue cycle, and claims editing software experience
~ Experience in claims adjudication and application of NCCI editing and multiple payment rules
~ Ability to interpret claim edit rules and references
~ Solid...
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Remote job
Work from home
Home office
...SAE flow plan for AESI in conjunction w/ CSPV, Defines medical monitoring oversight component of study QOP, Sets up DSMB and/or adjudication committee; reviews and edits DSMB/ Adjudication charters, Develops medical content for protocol profile, protocol and amendments...
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* U.S. Citizenship required.
* Appointment subject to background investigation and favorable adjudication.
* Meet Selective Service Registration Act requirement for males
* Selectee will be required to participate in the Direct Deposit Electronics Funds Transfer...
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Holiday work
Permanent employment
Full time
Temporary work
Part time
Local area
Shift work
Night shift
Weekend work
Afternoon shift
...These medical records and case folder will be viewed, processed and stored electronically. Interaction with disability reviewers, adjudicators, medical providers and other staff is required; however, there is no contact with the claimant nor is there clinical...
Suggested
Holiday work
Locum
Monday to Friday
...authorizations, exceptions, and appeals
Enter authorizations and test claims into the pharmacy benefit system to ensure appropriate claim adjudication
Perform system edits, data entry, and complete tracking logs
Assist with departmental audits and quality improvement...
Suggested
Remote job
...applicants and collecting and logging green cards,
Providing support for the processing of forms and applications used in the adjudication process,
Scanning large multi-page documents,
Other duties as assigned.
Qualifications & Physical Requirements:...
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Permanent employment
Full time
For contractors
Local area
...for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity,?Inclusion, and Belonging
At...
Suggested
Interim role
Local area
...liaison between the Divisional Information Security Office and its Audit and assurance partnersReview and triage intake requests and adjudicate new services for the Information Security OfficeCollaborate with Divisional Information Security Office teams to ensure they have...
Suggested
Full time
Part time
Local area
Immediate start
...RESPONSIBILITIES
1. Manages and oversees claim administration activities of the Authority including the investigation, evaluation, and adjudication of auto liability/property damage, general liability, workers' compensation and employment practices liability claims.
2....
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Local area
...announcement
Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. All information concerning qualifications is subject to investigation.
Documentation that you present for purposes of...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Part time
Work experience placement
Local area
Worldwide
Relocation
Overseas
Trial period
...Services Officer , you will independently research, interpret and analyze an extensive spectrum of sources in order to accurately adjudicate immigration benefits and petitions.
This job is open to
Career transition (CTAP, ICTAP, RPL) Federal employees who meet the...
Suggested
Weekly pay
Permanent employment
Full time
Temporary work
Part time
For contractors
Local area
Immediate start
Overseas
...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...
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Local area
Remote job
...requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your...
Holiday work
Permanent employment
Full time
Temporary work
Part time
For contractors
Internship
Remote job
Relocation
Felony friendly
Flexible hours
...for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity, Inclusion, and Belonging
At...
Local area
...competency of terminated employees.
Assists on candidate background checks and works collaboratively with legal on background check adjudication process.
Assists with ensuring Employee Handbook is updated with current policies and procedures.
Provides recommendations...
Contract work
For contractors
...clinical and non-clinical associates.
* Analyzes detailed data related to formulary/clinical rules setup and pharmacy claims adjudication.
* Performs daily workflow monitoring and prioritization to meet client deadlines.
Minimum Requirements:
* Requires a registered...
Holiday work
Temporary work
Local area
Remote job
...Provide outstanding customer service to, and seamlessly work with, the insured, broker, and underwriters in the handling and adjudication of claims.
Analyze and draft coverage letters as appropriate and communicate coverage positions effectively both verbally and...
