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Process Prescription Refills: Handle refill confirmations, review pending refills, and manage claims adjudication. Qualifications / Requirements: High School Graduate or Equivalent 2 years’ experience as a Pharmacy Technician MUST be a Nationally Board Certified Pharmacy Technician Must be certified in NC For immediate consideration, you may send your resume to kriziahcornerstonestaffing.
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Specialized functions include but are not limited to the following: prescription order entry insurance adjudication troubleshooting insurance rejections filling prescriptions preparing prescriptions for final pharmacist verification delivering prescriptions to the patient bedside checking patients out through the point of sale system contacting providers with questions assisting with inventory management and restocking supplies.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Consumer Complaints/AGO Help Center Case Management SystemSQL Server to Microsoft Dynamics 365/CRM leveraging SQL Server (Kingsway Soft SSIS)I. Leveraging Kingsway Soft’s SSIS Integration Toolkit (preferred to have experience with this tool, but not required)Missing Children’s Clearing House (MCCH)Oracle 10gto SQL ServerMental Illness Adjudication Reporting (MIAR)SQL Server to SQL ServerSkills needed include.
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This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication. A willingness and ability to learn internal systems, particularly QNXT, is expected.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge of security specific systems, databases, websites, and software, including Facility and Information Security Accreditation Tool, VRBS, APICS, Scattered Castles, Joint Personnel Adjudication System or their successors.
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System interface requirements; requirements decomposition review; adjudication of Air System/Ground Stems Interface Control Documentation; support of system model development; review of UMCS model implementation; analysis of installation guidance, and integration gap analysis.
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Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing. Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing.
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Demonstrated subject matter knowledge of the Department's personnel security functions to include personnel security responsibilities and investigation and adjudication policies is highly desired.
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Responsibilities will include using appropriate tools and analytic tradecraft to evaluate, analyze, and integrate relevant identity information to reveal foreign traveler links to terrorism for the State Department adjudication and watch listing purposes.
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A deep knowledge of claims adjudication typically achieved through a minimum of seven years’ experience adjudicating General Liability Bodily Injury Claims claims with exposure of $100,000 or more.
$126,400 - $180,480 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication, and general reimbursement procedures. License Mass Registered Pharmacy Tech preferred., or Registration Pharmacy Technician Trainee required., or Certificate 1 Certfied Pharmacy Technician preferred.
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Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 140. Plans and directs care in the clinic and nursing home setting independently and in collaboration with Physicians and other health care professionals, providing primary health care to individuals and families that emphasize health promotion and disease intervention.
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The Juvenile Prosecutor's duties include reviewing facts and circumstances of assigned cases to determine appropriate action (including diversion, informal adjustment, and adjudication). Work regularly with representatives from the Idaho Department of Health and Welfare, juvenile probation, local schools, early intervention specialists, counselors, the Department of Juvenile Corrections, and other agencies.
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Position Summary: The Billing Specialist, Medicaid ensures proper submission and adjudication of all claims submitted to Medicaid carriers while working within the deadlines and protocols of the assignments.
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Manage resident issues involving needs for mediation and adjudication. Accredited Residential Manager (Institute of Real Estate Management) or Certified Apartment Manager (Building Owners and Management Association) or willingness to obtain within one year of hire.
Full-timeExpandApply NowActive JobUpdated 2 days ago
adjudication job
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