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Possesses knowledge of the adjudication process and can trouble shoot rejected claims. A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law.
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A successful Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.
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Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (-applicant-privacy-policy)\ Summary The Coordinator -Pre-Employment Background Screening will be responsible for the review and adjudication of candidate’s background report such as MVRs, criminal, employment, and education background reports to ensure compliance with Ryder’s policies as well as Local, State, Federal regulations.
Starting at $16 an hourRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Represents clients in court at various stages of cases, including arraignments, preliminary and pretrial hearings, probation and sentencing, post-adjudication/post-conviction hearings, appeals, or any related courtroom proceedings: negotiates at all stages on behalf of the client; prepares and argues motions; conducts jury selection, makes opening and closing statements, presents evidence, and questions witnesses; and makes appropriate objections and arguments.
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Research and evaluate accounts for proper adjudication. Data entry and 10-key experience necessary. Experience with credit card and payment processing systems. Research and evaluate accounts for proper adjudication.
$19.85 an hourFull-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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DCSA Consolidated Adjudication Services (DCSA CAS), an agency of the Department of Defense, handles and adjudicates the security clearance process. Create/modify documentation in support of reviews associated with formal testing, which may include Test Readiness Review (TRR), Consent to Ship (CTS), and Test Data Review (TDR) packages.
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Responsibilities of Pharmacy Technicians on the Centralized Services team include prescription order entry (data entry and claims adjudication through McKesson EnterpriseRx software) and working alongside pharmacists while triaging/assisting patient phone calls.
$500 (bonuses)Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Accurately assess claims and identify any problematic issues associated with adjudication that may impact upstream billing to payers. The benefit solutions include non-emergency medical transportation, card-based benefits (i.e., Flex, OTC, Wellness), and specialist benefits (i.e., physical therapy, podiatry.
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If NO, please type N/A.Have you ever been convicted of, plead guilty or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or offense involving moral turpitude (including, but not limited to theft, rape, murder, swindling, and indecency with a minor.
$36,640 - $43,280Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Job Summary: Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. Responsible for monitoring adjudication queue(s) KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.
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Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process. Partner with People Operations on employee relations issues, recruitment efforts and HR needs for the department.
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Years Of Experience Years of Experience in Related Field Skills Questionnaire Rank from 1 to 10, your skill with MS WordRank from 1 to 10, your skill with MS ExcelRank from 1 to 10, your knowledge of the Skyward System.
$19,740 - $26,370Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e. health plans or health plan enrollees). Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
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Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.
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Candidate must demonstrate the ability to understand and navigate the payer adjudication process. Responsible for reviewing documentation to help ensure accurate charge capture. Follows organizational policies and procedures to ensure consistency of charge capture processes and reimbursements.
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adjudication job
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