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Experience in customer service, claims processing, claims auditing or provider relations for Provider Networks in Optometry and Ophthalmology is desirable. The Provider Relations Representative will provide training, education and guidance while building a strong relationship with our provider partners by in-person or virtual visits, and phone calls.
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Provide Knauf employees and/or dependents with advice, counsel, and help in all aspects of benefits including enrollment and claims processing; serve as liaison for Knauf with the TPA benefit vendor and the administration of employee claims; coordinate benefit changes with the Payroll.
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This position will be responsible for the daily operations, maintenance, and support of the MTA benefits department, which includes Benefits Processing, Customer Resolution & Support, Death Claims, COBRA, and Leave Management, and Billing/Claims units.
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Partner with the Regional HR Director and Plant Manager to provide day-to-day support and coordination for human resources, including staffing, compensation, benefits processing, performance management, training, and employee relations.
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Manage fleet vehicle leases, oversee property & casualty insurance renewals and claims, and actively participate in health insurance renewals and workers' compensation claims. Board Relations and Reporting.
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At least five (5) years prior experience processing NYS workers' compensation claims and/or FMLA leaves of absence, is preferred. Associate's Degree from an accredited college or university in Human Resources Management, Labor Relations, Public Relations, Healthcare Administration, or a related discipline and two (2) years of relevant experience in human resources or personnel administration, labor relations, employee relations, learning and development, talent acquisition, customer service (providing information and resolving customer concerns), or a related administrative support function; or.
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Processes workers compensation claims, works with insurance carrier on return-to-work strategy, and liaises with location to ensure protocol and restrictions are followed. Reporting to the Regional Director of Employee Services, this role is responsible for HR functions across the employee life cycle , including post- hiring and onboarding, benefits enrollment and service, payroll duties, HRIS, training, employee relations and conflict management , safety and worker’s compensation programs, compliance/employment law, and offboarding/ terminations.
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The coder will apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Promotes MHS Guest Relations philosophy, Statement of Values, and follows MHS Behavior Standards and Code of Conduct.
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Strong e xperience with ADP Workforce Now for payroll processing, benefits administration, and reporting. Administ ers and supports benefits programming , including employee support, communication, liaising with benefits brokers and providers, and processing enrollments and life-event changes.
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Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
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Oversee communications with Texas Workforce Commission on issues related to unemployment claims for TEES employees. Engineering HR & Payroll supports employees and retirees in a variety of areas including recruitment, hiring, onboarding, payroll, classification & compensation, benefits, retirement, leave administration, compliance, immigration, and employee relations.
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Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management required.
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3 years of recent experience in: provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations, or contracting) experience within a Managed Care Organization.
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Knowledge of HRIS systems and capabilities including reporting , data management, and processing. Completes payroll related tasks and duties, pay procedures, and assist ance with unemployment claims in accordance with regional needs.
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This is accomplished by processing unclaimed property claims using the precise application of program rules, regulations, policies and procedures, the laws affecting ownership (such as domestic relations and probate) for all 50 states, federal regulations and international restrictions.
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claims processing relations jobs
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