Average salary: $95,255 /yearly
More statsSearch Results: 57 vacancies
...maintain documents in paper and electronic filing systems
•Prepare, generate, and file subpoenas, pre-trial motions, revocations, adjudications, bench warrants, competency/sanity motions, and other documents
•Assist with jury trials by preparing prospective jury charts,...
Suggested
Holiday work
Full time
Trial period
Flexible hours
...actively seek resolutions to any billing issues that may arise
Reporting/Documentation:
Billing documents as requested
Claim adjudication
Collection efforts and resolutions
Weekly status reports
Keeping the Infusion price table matrix up to date according...
Suggested
Holiday work
Full time
Local area
Flexible hours
...party payer balance to determine status of claims in accordance with payer specific follow-up guidelines.Attempts to expedite claim adjudication by resolving issues that may delay processing, involving the patient/guarantor as necessary.Clearly and concisely documents...
Suggested
Fixed term contract
...drug screen prior to their date of hire.
The ability to undergo a Public Trust background investigation and receive a favorable adjudication.
US Citizenship for at least 5 years.
This position will accept and review new applications and resumes no less than 5 business...
Suggested
Temporary work
...Proficient in Microsoft Office applications including Word, Excel, PowerPoint, Access, etc.
- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
- Experience and expertise in performing the requisite services in Section 3...
Suggested
Holiday work
Full time
Work experience placement
Interim role
Local area
Flexible hours
...finalize all medical appeals ensuring appropriate notification and communication to members and providers, data retention and claims adjudication. After setting up cases in JIVA, will forward to Specialist for further research.
Supports department by performing duties...
Suggested
Work experience placement
Local area
Immediate start
Relocation
Felony friendly
...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...
Suggested
Permanent employment
Full time
Temporary work
Part time
For contractors
Work experience placement
Relocation
...plates, helping with Residential Permit Parking decals, assigning re hearing dates, accepting and processing payments, giving out adjudication information, as well as providing general assistance with any type of question or problem (i.e., questions regarding DMV...
Suggested
Hourly pay
Immediate start
Shift work
Night shift
Weekend work
All shifts
...Citizen or US National.
Males born after 12/31/1959 must be Selective Service registered or exempt.
Subject to satisfactory adjudication of background investigation and/or fingerprint check.
Direct Deposit: Per Public Law 104-134 all Federal employees are...
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Flexible hours
Monday to Friday
...provider needs and concerns.
Must have demonstrated knowledge and experience in managed care contract terms, end-to-end claims adjudication and payment processes, Plan policies and benefit designs that impact providers, credentialing, provider relations, and...
Suggested
Contract work
Work experience placement
Local area
Relocation
Felony friendly
...less than ten years has elapsed between the date of application and the successful completion or service of any sentence, deferred adjudication, or period of probation or parole for which a full pardon or similar relief has not been granted under the laws of the United...
Suggested
Hourly pay
Holiday work
Temporary work
For contractors
Work experience placement
Relief
Local area
Immediate start
Trial period
Felony friendly
Shift work
Night shift
Weekend work
...processing.That’swhyHealthRulesPayer has been ranked number one its class among CAP Solutions. Besides delivering 90%-97%first-passauto-adjudication rates and 99%+ accuracy, it enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It...
Suggested
Permanent employment
Full time
Local area
Remote job
Afternoon shift
...Citizen or US National
* Males born after 12/31/1959 must be Selective Service registered or exempt
* Subject to satisfactory adjudication of background investigation and/or fingerprint check
* Successful completion of one-year probationary period, unless...
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...Citizen or US National
* Males born after 12/31/1959 must be Selective Service registered or exempt
* Subject to satisfactory adjudication of background investigation and/or fingerprint check
* Successful completion of one-year probationary period, unless...
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...have typing/keyboarding skills and good communication skills.
- Must be a US Citizen.
- Must be able to obtain a favorably adjudicated Public Trust Clearance.
Ideally, you will also have:
- Previous Government Experience.
Our commitment:
Contact Government...
Suggested
Holiday work
Full time
Flexible hours
...and corresponding support. Also leads Utilization Management to include Policy, Appeals & Denials, and integration with Claims adjudication. Collaborates with Medical Directors and other leaders within Medical Management, HGB and Humana to develop Population Health strategies...
Contract work
...the phone to assist them in the awareness of their medications.
Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up.
Manage, organize, and update relevant data using database applications...
Local area
...scheduled;
o Review Passport application, photograph, identification and supporting documentation for completeness prior to adjudication;
o Ensure the application and documents complies with passport requirements, photograph meets passport standards, and customer...
Hourly pay
Holiday work
Full time
Contract work
Local area
Flexible hours
Shift work
...best in business Group Protection Claims Solutions with Lincoln's Claims and Group Protection Businesses, which includes claims adjudication. Provide governance of technical and business best practices for GP and help to remove roadblocks. Analyze user needs and develop...
Work experience placement
Remote job
Work from home
Relocation package
Flexible hours
...clarifications, and refill authorizations from providers offices; obtain patient s medication drug list for DUR investigation
- Review and adjudicate prescription insurance claims of medications to be delivered
- Contact patient, providers office, and insurance companies for...
Part time
