Average salary: $97,583 /yearly
More stats ...regulations/procedures.
* Ensuring that appropriate member benefits are processed.
* Researching claims as needed in order to adjudicate timely and accurately.
* Completing projects as assigned by the Claims Manager or other health plan management.
*...
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Full time
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...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...
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Part time
Local area
...responsible for:
•Accuracy and completeness of patient accounts for billing and follow-up of healthcare claims to ensure timely claim adjudication in accordance with Renown policies and healthcare payor rules and regulations.
•Review, evaluation and submission of...
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...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...
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...training and experience progress.
Security Requirements: Initial appointment is conditioned upon a satisfactory preemployment adjudication. This includes fingerprint, credit and tax checks, and drug testing. In addition, continued employment is subject to a favorable...
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Overseas
.../or legal status under the Immigration and Nationality Act. Responsibilities Research and make case determinations, hearing and adjudicating appeals, and make decisions on reopening cases and whether to reconsider cases. Provide technical and administrative advice to staff...
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Full time
Temporary work
Part time
Local area
Immediate start
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Overseas
...or 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...
Suggested
Permanent employment
Full time
Temporary work
Part time
Local area
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Relocation
Relocation package
Shift work
...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....
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Full time
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Part time
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Night shift
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Monday to Friday
...processing of healthcare claims within our organization. You will lead a team of claims analysts, oversee claim submission, review, and adjudication processes, and collaborate with various stakeholders to maintain high-quality claims management practices. This role demands...
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Local area
Flexible hours
....
Strong experience supporting a vendor’s health insurance administration solution which provides benefit management, claims adjudication/payments, premium billing and other core functions is highly preferred.
Strong experience as an analyst supporting the QNXT solution...
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Local area
...Payment Integrity involving claims research and escalated issues.
Analyze the processing of claims to determine if claims were adjudicated correctly based on plan benefits, provider contracts and Health Plans claims processing guidelines
Has oversight of high...
Suggested
Local area
...Citizen or National.
* Males born after 12-31-59 must be registered for Selective Service 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
Remote job
Relocation
Flexible hours
Monday to Friday
...Citizen or National.
* Males born after 12-31-59 must be registered for Selective Service 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
Remote job
Relocation
Flexible hours
Monday to Friday