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...may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical a Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare...
Claims
...Job Description
Job Description
Utilization Review Specialist/Behavioral Health Substance Abuse
FLSA Status: Exempt
Classification: Full-Time
Reports To: The UR Specialist will report to UR Manager.
Job Overview: The Utilization Review Specialist...
Suggested
Remote job
Full time
Work experience placement
Flexible hours
...IS IT TIME FOR A CAREER CHANGE?
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark on a dynamic and in... ...at to explore our offerings and view our 375+ Five-Star Google Reviews.
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Claims
Full time
Immediate start
We are Farmers!
Claims
...applicable for assigned service sites
Conducts timely performance reviews
Maintains a work environment that supports dignity and fair... ...of all service site injuries and assist with the management of claims
Monitors service site expenses relative to budgets
Trains staff...
Claims
Full time
Work experience placement
Local area
Remote job
Flexible hours
Shift work
...- Army Futures Command and FCC Futures Concept Center guidance. Reviews, analyzes, and evaluates accomplishments of overall Cyber Capabilities... ...and Doctrine Warfighting Developers position. You may claim military spouse preference (MSP). If a MSP applicant is determined...
Claims
Permanent employment
For contractors
Local area
Trial period
Relocation bonus
...Interprets and explains VA's treatment and benefit programs.
Reviews all data, subjective and objective, and makes a clinical... ...may be required based on the eligibility/eligibilities you are claiming.
-Resume: Your resume must include the following for each job...
Claims
Permanent employment
Full time
Temporary work
Part time
For contractors
Traineeship
Work experience placement
Internship
Relocation
Monday to Friday
...rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of... ...of education and experience:
DD-214 - If you are claiming Veterans' Preference or eligible Veterans' Service, provide a copy...
Claims
Hourly pay
Holiday work
Permanent employment
Full time
Temporary work
Part time
For contractors
Work experience placement
Immediate start
Remote job
Relocation
Trial period
Flexible hours
Shift work
Night shift
Weekend work
Sunday
Saturday
...correspondence regarding new or existing insurance policies and service all claims which include regular and after-hour claims.
Work with new... ...Set appointments and/or client calls or support a producer to review existing policies, review liability limits and exposures,...
Claims
Work experience placement
..., including auto insurance, home insurance, life insurance, and claim remediation. This role is ideal for individuals with experience... ...satisfaction and address concerns.
Use a customer-focused, needs-based review process to educate customers about their insurance options....
Suggested
Local area
Monday to Friday
...PPE (Personal Protective Equipment)
Follows proper accident and claim procedures. Complies with safe driving rules and procedures and... ...applications for this position. Our hiring managers frequently review submissions and will contact you if we think you are a good fit...
Claims
Holiday work
Temporary work
Flexible hours
Shift work
Weekend work
...packages for subcontractors
Documenting and assisting with Damage Claims
Creating Labels, Printing Maps, Scanning Dailies, etc.
Assist /... ...Fiber and coax splicing dailies (or documenting design changes)
Review all "Business as Usual" dailies against P2 and design
P2 Chatter...
Claims
Contract work
For subcontractor
...relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct.... ...those to physicians.
Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient...
Claims
Part time
Work experience placement
Seasonal work
Local area
Immediate start
Flexible hours
Shift work
Afternoon shift
...Volume 3005, "CES Employment and Placement". If you are a veteran claiming veterans' preference, as defined by Section 2108 of Title 5 U.S... ...completing work independently that rarely requires editing or review by others. (2) Customer Service - Works with clients and...
Claims
Permanent employment
Local area
Immediate start
Long distance
...certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG... ...rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of...
Claims
Holiday work
Permanent employment
Full time
Contract work
Part time
Freelance
Local area
Relocation
Monday to Friday
...to manage an online calendar, are comfortable completing notes, reviewing case files. and general documentation online, and are... ...checking insurance eligibility, collecting fees, or submitting claims---we take care of the administrative work so that you can focus...
Claims
Contract work
Temporary work
Local area
...The Hospice Billing Coordinator will maintain compliant billing, review payments and EOBs, process any required funds, and will... ...dates and out of pocket amounts in HCHB
* Transmit UB/CMS 1500 claim forms to payor source and document successful receipt of each in...
Claims
Remote job
...Research Billing Compliance Analyst will be primarily responsible for reviewing clinical research protocols documents, supporting the... ...develop Medicare Coverage Analyses (billing plans) and monitor the claims and reimbursement process. Stay up to date on all new and...
Claims
Holiday work
Full time
Temporary work
Part time
Immediate start
Shift work
Monday to Friday
...identified. Having a positive outlook and demeanor in everyday tasks Maintain a working knowledge of requirements and guidelines for reviewing claims. Provide customer service on the telephone for all patients and authorized representatives regarding patient accounts in...
Claims
Full time
Flexible hours
...investigation, analysis, reports, and testimony when technical and scientific answers are needed to help resolve civil litigation or insurance claims, involving vehicle crash reconstruction and product liability.
Must have working knowledge of Forward Collision Warning, Lane...