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...Description
Job Description Salary:
Position Purpose:
Medical Reviewer II performs complex (senior-level) work. Provides dissatisfied... ...including coverage and payment rules
• Medicare regulations, claims administration, and medical review processes
• Applicable...
Claims
Full time
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...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of...
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Work experience placement
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Local area
...may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding: Annapolis Maryland. The...
Claims
$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
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...Lincoln Financial Group Director, LTD Claims Annapolis , Maryland Apply Now
Alternate Locations: Work from Home; Boston, MA (Massachusetts... ...guidance to claim team members on claims adjudication.
Reviews and resolves complex escalated issues and concerns.
Ensures...
Claims
Work experience placement
Remote job
Work from home
Relocation package
Flexible hours
...Exciting Opportunity for Aspiring Claims Adjusters!
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark... ...at to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: ()
and Facebook at:...
Claims
Full time
Immediate start
...records within timeframes established for each patient type.
# Review medical records, including patient histories, examination... ...Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues.
# Communicates...
Claims
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...into the billing system. This position will track all high dollar claims from charge entry to payment and will resolve complex carrier... .../or charges.
Essential Duties and Responsiblities:
* Reviews and resolves complex issues that result in payer denials, including...
Claims
Work from home
Flexible hours
...Member 4 Copy), if you are a veteran. Additionally, applicants claiming 10-point preference must complete Standard Form (SF) 15,... ...Smithsonian receives many applications for each job. Each application is reviewed carefully which may take a few weeks. We will send you an e-...
Claims
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Flexible hours
...individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting... .... Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position...
Claims
Holiday work
Permanent employment
Full time
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Immediate start
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Afternoon shift
...monthly in addition to ensuring they are all advertised. Prepares and reviews outgoing correspondences and reports ensuring proper format.... ...appropriated or appropriated fund position ends your ability to claim this preference. For positions requiring travel more than twice...
Claims
Full time
Part time
Immediate start
...regulations
•Additional RCM processes include: Cash Posting, Claims Follow up, Coding, Credentialing, Payer Relations
•Develop and... ...and results analysis at Revenue Management Operating Reviews with Executive and Senior Leaders
•Continually monitor the regulatory...
Claims
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For contractors
...policy, procedures and regulations to support program compliance.
Review, monitor, assist, and correct Housing Specialists’ monthly re-... ...reports, re-certification reports, financial transmittals, claims, utilization reports, memorandum,
correspondence, and other job...
Claims
Contract work
Work experience placement
Interim role
Immediate start
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...Spouse Preference (MSP) eligibles.
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* You will review request for construction, maintenance, repair, renovation,... ...provide documentation that supports the eligibility and qualification claims made in your resume and assessment questionnaire. You must...
Claims
Permanent employment
Full time
Contract work
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Part time
Work experience placement
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Local area
Immediate start
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...manufacturing, production, quality, regulatory, project management, legal, claims and strategy and marketing personnel.
+ Possess continuous... ...)
+ Ongoing performance feedback and annual compensation review
As required by New York State's pay transparency bill, Bausch...
Claims
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Work visa
...financial records.
Account Reconciliation:
Conduct regular reviews of patient accounts to identify discrepancies, errors, or unpaid... ...you to apply.
Associated topics: adjuster, auto, bodily, claim, claim adjuster, claim examiner, damage, insurance investigator,...
Claims
Holiday work
Temporary work
...inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.
Use a customer-focused, needs-based review process to educate customers about insurance options.
Maintain a strong work ethic...
Claims
Base plus commission
For contractors
...open communication and prompt resolution of payment issues.
Review and analyze customer accounts to identify potential risks and develop... ...accounting required.
Knowledge of mechanical liens and bond claims is a plus.
Experience collecting large volumes in excess of 1...
Claims
Holiday work
...and training, charity care, accounts payable, coding, billing and claims processing.
Assure compliance with local, state and federal... ...in the development of and performance to meet budgets including review of expenses and ongoing budget reconciliation.
Apply and foster...
Claims
Full time
Local area
...has an excellent career opportunity available as a OOS Medicaid Claims Specialist. This position is an office-based role working in Glen... ...documentation from medical providers in a timely manner.
* Review and edit claims to ensure they meet state and federal guidelines...
Claims
Holiday work
Full time
Remote job
Monday to Friday
