Average salary: $111,379 /yearly
More statsSearch Results: 58 vacancies
...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
Gangs
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
Monday to Friday
...including claim forms, correspondence, and resolution details. Ensure accuracy and completeness of documentation to support claim adjudication and reporting.
Collaborate with internal departments such as Sales, Customer Service, and Quality Assurance to facilitate...
Suggested
Holiday work
Temporary 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
Full time
Temporary work
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...
Suggested
Local area
...Citizen or 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
Temporary work
Part time
Local area
Remote job
Relocation
...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
...Provide comprehensive teaching to patients and families.
Responds to patient telephone calls (within clinic protocol timeframe)
Adjudicates incoming referrals (within clinic protocol)
Communicates with referring providers, as necessary
Reviews diagnostic testing...
Suggested
Full time
Private practice
Remote job
Flexible hours
..., to the extent that. imperfections are detected, re-train and re-educate the department or specific individuals.
Terminal Adjudication
Become fluent on hospital and Somnia self-pay policies and ensure adherence to them.
Develop, implement, and maintain a process...
Suggested
Full time
Remote job
Flexible hours
...adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate adjudication of claims. This role requires thorough understanding of regulatory requirements, managed care contract terms, facility-specific...
Suggested
Full time
Contract work
Temporary work
...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
Contract work
Local area
...independently
Proficient with telephone and email communications
Basic understanding of medical coding systems affecting the adjudication of patient accounts in EDI or UB04 form,
including:ICD-9, CPT, HCPCS, DRG, APG, APC, and revenue code structures...
Suggested
Contract work
Work experience placement
...and expert intervention, the company provides prior authorization, prescription decision support, specialty patient support, core adjudication network, patient assistance programs, clinical and behavioral adherence and patient empowerment solutions.
Were proud to be...
Suggested
Remote job
Shift work
...commercial databases and other sources of information.
-Must have a valid driver's license.
-U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
Ideally, you will also have:
-Experience in law enforcement.
-...
Suggested
Holiday work
Full time
Interim role
Local area
Flexible hours
...judgement
- Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing
- Understand and follow the company guidelines on the operation of the cash register and follow all...
Suggested
Part time
Local area
...Provide comprehensive teaching to patients and families.
? Responds to patient telephone calls (within clinic protocol timeframe)
? Adjudicates incoming referrals (within clinic protocol)
? Communicates with referring providers, as necessary
? Reviews diagnostic testing...
Private practice
Remote job
Flexible hours
...applications, such as MS Word, MS Excel, MS - Outlook, and Adobe Acrobat.
- Must be a US Citizen
- Must be able to obtain a favorably adjudicated Public Trust Clearance
Ideally, you will also have:
- At least 3 years of specialized litigation experience
Our...
Holiday work
Full time
Flexible hours
...Wellness programs
~ Flexible work schedule
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing un-adjudicated claims billed to various carriers at their assigned Billing Group in the No Activity/No Response Roles. Maintains accuracy and production...
Holiday work
Flexible hours
...experience with Relativity.
- Must have experience with SQL server version 2012 and later.
- Must be able to obtain a favorably adjudicated Public Trust Clearance
Our commitment:
Contact Government Services (CGS) strives to simplify and enhance government...
Holiday work
Full time
Flexible hours
...in the pharmacy information system.
* Enters necessary prescription plan information in the patient profile for processing and adjudicating patient's prescriptions.
* Responsible for entering all new patient prescription information into the pharmacy information...
Full time
Local area
Rotating shift
Weekend work
Sunday
Saturday
Monday to Friday
