Average salary: $81,803 /yearly
More statsSearch Results: 38 vacancies
...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...
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Temporary work
Local area
...products.
* Performs bulk compounding.
* May process refill requests and prior authorizations.
* May perform data entry and adjudication.
* Manage and support automated drug distribution and drug inventory.
* Medication picking, delivery, and restocking to...
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Internship
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Night shift
Weekend work
Day shift
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...and ordinances by preparing proper documentation, issuing written orders, citations, formal complaints, preparing administrative adjudication cases and appearing/testifying in hearings and/or court.
Prepare and maintain accurate inspection records and computer entry...
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For contractors
Apprenticeship
Local area
...time zone
4. Day to day tasks? Preparing client invoices and performing reconciliations between SAP billing system and claims adjudication platform. Preparing journal entries and balance sheet account reconciliations as part of monthly financial close process.
5....
Suggested
Remote job
...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...
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Hourly pay
Temporary work
Part time
...company option and a purely administrative option for our customers.
Responsibilities:
To perform workers compensation claims adjudication and investigation. Responsible for all technical aspects of claim management for assigned including compliance with all...
Suggested
Full time
...supervision of the Contract Management Team, perform various clerical and repetitive manual functions to support the customer service and adjudication departments. Additionally, perform various processing functions, utilizing office equipment and machinery in the preparation,...
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Hourly pay
Holiday work
Full time
Contract work
Local area
Immediate start
Flexible hours
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...large healthcare client. The QAS will be responsible for quality testing new and revised benefit plans, determining if claims are adjudicating properly, and take appropriate steps once testing is completed. You will also be responsible for submitting ServiceNow requests...
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...scheduled;
o Review passport application, photograph, identification and supporting documentation for completeness prior to adjudication;
o Ensure the application and documents comply with Passport requirements, photograph meets Passport standards, and customer...
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Hourly pay
Holiday work
Full time
Contract work
Local area
Shift work
...pharmacy benefits. Research and report inconsistencies pertaining to pharmacy benefit, formulary management logic, and pharmacy adjudication. Independently resolve member's pharmacy issue based on patient care and unique circumstances.
Organize and accurately log all...
Suggested
Local area
Immediate start
...contribute to a positive team atmosphere.
PREFERRED QUALIFICATIONS:
~ Experience answering benefit and claim questions. Claims adjudication process experience.
~ Managed care and/or HealthPlan experience.
~4 or more years of experience addressing member complaints...
Suggested
Contract work
Work experience placement
...subject to the completion of a favorable suitability or fitness determination, where reciprocity cannot be applied; unfavorably adjudicated background checks will be grounds for removal.
* Selective Service Requirement: Males born after 12-31-59 must be registered or...
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Full time
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...Responsibilities
Prepares, checks, and dispenses medications.
Fills first doses and refill floor stock.
May perform data entry, adjudication, filing, and selling prescription duties.
May review clinical data on patient profile for clinical appropriateness.
May...
Suggested
Contract work
Internship
Shift work
Weekend work
Afternoon shift
...analyze low to high-level General Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL...
Suggested
Flexible hours
...customers
~ Ability to maintain and create relationships throughout institutions/accounts/pharmacies
~ Knowledge of pharmacy adjudication process and perspective
~ Ability to provide informal leadership within assigned accounts
~ Sophisticated understanding of...
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Work experience placement
Remote job
Shift work
Night shift
...Product Owner, or Engineering role responsibilities
Experience working with health insurance applications/systems including claim adjudication and related systems such as enrollment, premium billing, provider management, and care management strongly preferred; and...
Work experience placement
...calculations including basic mathematical calculations (e.g., converting milligrams)
+ May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS)
+ Maintains current knowledge of Medicaid claim regulations and processes
+ May...
Full time
Flexible hours
Shift work
...school diploma or GED.
Six months of experience processing health and welfare claims.
Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
Possesses a strong work ethic and...
Local area
Shift work
...retailed-owned, and contract pharmacy
Understanding of pharmacy benefit manager (PBM) practices as it relates to retail claims adjudication
Analyzing contract pharmacy service agreements (PSAs) to ensure compliance with regulations and OPAIS database
Providing...
Holiday work
Full time
Contract work
Work experience placement
Remote job
Work from home
Afternoon shift
...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. You must complete...
Permanent employment
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Part time
Work experience placement
Local area
Remote job
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Relocation
