Search Results: 1,379 vacancies
...to clinical information given by providers and internal criteria for medical necessity and appropriateness of care
+ Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst for outpatient and/or psychological testing requests
+...
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...updates, within the Medicaid Management Information System for claims and encounter processing.
* Responsible for the research and development... ...impacting claims and encounter processing.
* Independently review, monitor, analyze, evaluate, and report on claims and encounter...
Claims
Work experience placement
Local area
...foundation for success & advancement.Entry -level, Direct Hire STAFF Claims Trainee position offers a great future with future management... ...their resume for immediate consideration. Resumes will be reviewed as quickly as possible and qualified applicants will be contacted...
Claims
Traineeship
Immediate start
...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- Oncology -REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical...
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Work experience placement
Internship
Local area
...Job Description - Claims Adjuster Trainee (186408) ****
Claims Adjuster Trainee **Job Number**
: 186408 Description - External
Join one of FORTUNEs 100 Best Companies to Work For!
As a **claims adjuster trainee**, youll learn how to help customers get back on...
Claims
Hourly pay
Full time
Temporary work
Traineeship
Work experience placement
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Work from home
Flexible hours
Weekend work
Saturday
Afternoon shift
...difference in people's lives? Do you want a purposeful l career with endless opportunities for growth?
As a member of the Field Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative, problem solving, and...
Claims
For contractors
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Job Description
The Authorization Rep ensures patients have been cleared for Hospital services, specialty service and office visits. Resolves pre-certification, registration and case-related concerns and determination of patient financial obligation prior to a patient...
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...Design and Covered Services
Job Summary
Job Description
* Reviews and verifies accurate CPT, ICD-10, HCPCS reimbursement between... ...and analyzes reports on such topics as number of denied claims, documentation or coding issues, for review by management
* Reviews...
Claims
Contract work
Local area
...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
Immediate start
...asked to work outside of their assigned territory as business needs dictates.
T his position is for a Property Field Inspection Claim Specialist, handling accidental and weather-related homeowners, commercial, and large loss claims. You will be the first point of contact...
Claims
Remote job
Work from home
Flexible hours
Shift work
...Senior Property Claims Adjuster - Liability **Job Number**
: 187110 * Bachelor's degree or higher and a minimum of three years casualty claims experience
* Instead of a degree, a minimum of four years of prior work experience within claims, financial services, customer...
Claims
Work experience placement
...linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American... ...and Responsibilities
Investigates and maintains claims:
Reviews and evaluates coverage and/or liability.
Secures and analyzes...
Claims
Full time
Part time
...ABOUT THE ROLE
As a Document Quality Review Specialist (Reporting Specialist), you will provide high-level operations support to the service delivery organization by working to assemble, format, and review time-sensitive and highly technical reports. The ability to...
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Holiday work
Full time
Schedule: Full-Time Salary Range: USD $55100.00 - $80300.00 Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range...
Claims
Full time
For contractors
Local area
...to the appropriate person or taking the necessary information. Claim files are handled with specialized functions, like the Phone Representative... ...facts and details when conveying information
Thoroughly reviews information and consistency
Communication
Effectively...
Claims
Permanent employment
Full time
Remote job
Monday to Friday
...Independent Adjusters Needed
Are you Interested in becoming an Independent Claims Adjuster?
The 2021 storm season was an all-time HIGH! It is predicted that the next 5 years will be just as Active as 2021. Because of this, Independent Claims Adjusters are in high...
Claims
Full time
Immediate start
Not many people can claim the ocean as their office. As a Navy Diver, your job will take you to the depths of the sea to perform underwater... ...claustrophobia.
Visit the Navy SWCC PST Calculator to review the current minimum Navy Physical Screening Test (PST)...
Claims
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Part time
Work experience placement
...for this exciting opportunity.
RequiredSkills/Abilities:
# Review medical documentation and assign appropriate ICD-10, CPT, and HCPCS... ...through accurate coding and documentation.
# Appeal denied claims.
# Research and resolve coding issues.
# Submit appeals...
Claims
...functions, clinical policy creation/implementation, drug utilization review monitoring, and targeted member/physician education programs.... ...in all relevant systems including but not limited to PBM claims processing system, annual printed formularies, BCBSLA website, and...
Claims
Work experience placement
Local area
Relocation
Felony friendly
...basis and follows up to ensure completion.
Process insurance claims for customers. Maintains proper insurance claims records and... ...customers, as needed.
Accepts and posts payments.
Processes and reviews loan documentation.
Answers telephone, as needed....
Full time
Traineeship
Local area
Relocation
Saturday
Monday to Friday
