Average salary: $31,545 /yearly
More statsSearch Results: 84 vacancies
...WATER RESOURCES SPECIALIST ASSOCIATE - Adjudications
Job No: 522311
Work Type: Full-time
Location: PHOENIX
Categories: Environment/Air/Water/Waste, Research
DEPT OF WATER RESOURCES
The mission of the Arizona Department of Water Resources...
Suggested
Holiday work
Full time
Temporary work
Part time
Home office
Flexible hours
...learn and grow in a new trade.
Position Overview:
As a Healthcare Claims Examiner, you'll play a vital role in analyzing and adjudicating various claim types, ensuring compliance with CMS regulations and internal criteria. This role offers comprehensive training in...
Suggested
Hourly pay
Full time
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...subject to ongoing review and may be updated or discontinued based on business requirements.
Job Description
Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services
Follow claims adjudication rules...
Suggested
Remote job
Hourly pay
Full time
Local area
Relocation
Flexible hours
Shift work
2 days per week
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
...accreditation standards (answering the phone cold chain testing etc.). 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....
Suggested
Remote job
...judgement
- Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing
- Support the continued coaching and training of clerks and/or technicians
- Compound medications...
Suggested
Part time
Local area
...hold stocks in firms with interest in Federal Lands.
+ Direct Deposit Required.
+ Appointment will be subject to a favorably adjudicated background/suitability investigation/determination.
+ Your resume must contain enough information to show that you meet the qualification...
Suggested
Holiday work
Remote job
Relocation
Shift work
Night shift
Rotating shift
Weekend work
...arrangements.
* Research, identify and organize requested audit documentation in timely manner.
* Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as...
Suggested
...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. If selected you will be sent instruction on obtaining fingerprints. Please...
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...that important mission since 1996.
DoD Statement
Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.
Benefits
We're more than just a health care company. We're passionate about...
Suggested
Contract work
Temporary work
Work experience placement
Local area
Remote job
Night shift
Weekend work
...PRIMARY PURPOSE : To analyze reported lower-level level general liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Handles lower-...
Suggested
...insurance coverage and/or service/benefit eligibility via system tools and aligns authorization with the guidelines to ensure a timely adjudication for payment
+ Performs data entry to maintain and update various authorization requests into utilization management system
+...
Suggested
Hourly pay
Holiday work
Remote job
Flexible hours
...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.If selected, you will be sent instructions on obtaining fingerprints....
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...Investigation: This position is designated as a MODERATE RISK Public Trust position. It requires a fully completed and favorably adjudicated Public Trust Suitability Background Investigation (T2S or T2RS or equivalent) that is current (within the last 5 years). This is...
Suggested
Permanent employment
Full time
Temporary work
Part time
Remote job
...Experience
Required:
•High School diploma or GED
•U.S. Citizen
•Must be able to receive favorable Interim and adjudicated final Department of Defense (DOD) background investigation
•Experience in the administration of government contracts or...
Suggested
Contract work
Temporary work
Interim role
Local area
Remote job
...frames. Verify eyeglasses returned from the laboratory as needed.
Complete Insurance verifications/authorizations, claims and adjudication process.
Coordinate with IT regarding office equipment issues.
Perform administrative duties, such as managing...
Holiday work
Local area
Remote job
Home office
...or other business-related field or equivalent experience
•U.S. Citizenship
•Must be able to receive a favorable interim and adjudicated final Department of Defense background investigation
•Experience in healthcare billing, Accounts Receivable, Auditing, or...
Contract work
Temporary work
For contractors
For subcontractor
Interim role
Local area
Remote job
Shift work
...SC, SD, TX, UT, VA/DC, *WA, WI, WY
DoD Statement
Our Department of Defense contract requires US Citizenship and a favorably adjudicated DoD background investigation for this position
~Veterans, Reservists, Guardsmen and military family members are strongly...
Contract work
Temporary work
Local area
Remote job
Shift work
...We are seeking a Bilingual Medical Biller/Receptionist to join our team. In this role, you will verify insurance coverage and adjudicate claims for reimbursements, greet patients, schedule appointments, and answer phones. Our ideal candidate is detail-oriented with...
...etc.)
•Valid U.S. driver's license.
•Ability to travel in support of investigations.
•U.S. Citizenship and ability to obtain adjudication for the requisite background investigation; and
•Must pass pre-employment qualifications of Cherokee Federal
Company...
Full time
Interim role
Local area