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As a law clerk, you'll work directly with a Judge, assisting in processing appeals and writ petitions. The Nevada Court of Appeals is currently accepting applications for law clerkships starting in Summer/Fall 2025.
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Assists Associate Director of Counseling with processing FAFSA and other financial aid appeals including outreach to students. Outreach by telephone, email and in office visits to new and continuing students related to all SFS services, including but not limited to retention, new student awarding, loan processing, satisfactory financial aid progress, aid disbursement and loan repayment.
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Resolves claims processing dispute as it related to following denials/correspondence received. Experience: 6 months to 1year working experience of Hospital or Physician office billing and collection processes including producing account appeals with positive outcomes strongly preferred.
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Responsible for processing claims including but not limited to answering inquiries from insurance companies and patients, rejections, denials, appeals and incorrect payments, follow-up of past due claims, monitor payment/adjustments from contracted insurance payments, and identifying credit/refunds on accounts to keep A/R days within goal range of 35 - 45 days.
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Respond to escalated provider claim inquiries received by Provider Services, Grievance and Appeals and other Departments as needed. Minimum of five years in a managed care claims processing environment processing all claim types (e.g., inpatient, outpatient, professional, SNF, DME, Home Health, COB) required.
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Train the Revenue Operations team to analyze gifts to determine appropriate campaigns, funds, and appeals in connection with gift processing and to enter all donations (e.g., cash, credit card, stock, online, gifts-in-kind, pledges, pledge payments, etc.
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Gift processing and donor records: Assist with gift processing in Raiser's Edge database, send timely gift acknowledgments to donors, and maintain accurate and current donor records of all interaction with donors.
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Additional dutiesinclude enrollment status reconciliation, housing and tuition budget adjustments,study abroad, processing of Satisfactory Academic Progress appeals, and allaspects of the student financial aid lifecycle.
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The position is a full-time, regular position, with an initial focus on processing of the papers of Guido Calabresi, Senior Judge of the United States Court of Appeals for the Second Circuit, former Dean of Yale Law School, and Sterling Professor Emeritus of Law. This position will be assigned a rank of Librarian 3 or Librarian 4 depending on professional experience and accomplishments.
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Assists other departments, when requested: a) Claims Processing and Operations, b) Provider and Member Services, c) Grievances/Appeals, d) HR/Onboarding/Interviews, e) Quality Management, f) Peer review, and g) Providing findings to the claims processing team and/or adjudication of claims related to Orthodontic cases.
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Assists patients in the resolution of the accounts, including processing payments by phone, setting up payment plans, filing appeals, and providing information to patients regarding intraoperative monitoring (IOM) services.
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The Medical Biller handles all aspects of claims processing, payment posting, monitoring timely payments from insurance companies, insurance verification, insurance denials, and appeals.
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Knowledge of Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards. Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc.
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Processing of prior authorization responses via CoverMyMeds and submitting appeals if requested by patient/prescriber. The Benefit Verification Coordinator is responsible for the coordination and processing of patient medication orders, to include order intake within regulatory boundaries, customer service coordination, and pharmacy technician duties as defined by policy and regulation and while under the supervision of a pharmacist.
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They also provide support and assistance in the preparation and processing of Federal Aviation Administration (FAA) enforcement cases at all stages, up to and including appeals and filing appeal briefs.
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appeals processing jobs
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