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Administers warranty claims, reviews warranty policy adjustments, understands and applies warranty guidelines, ensures correct processing of claims, and communicates warranty information and clarifications to customers.
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Owns 100% of legacy COBOL application development for all of Gerber Life policy administration applications (product config, billing, collections, policy servicing, claims) and feeds to various downstream systems that enable end-end life insurance processing (workflow, document generation and fulfillment, general ledger, reinsurance, etc.
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The responsibilities of a warranty clerk include processing and reviewing claims, overseeing fraudulent claims, and monitoring and maintaining warranty documents. Description: We are looking for a warranty clerk to be responsible for warranty claims.
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Develop and apply clinical informatics, population health, and machine learning methods (including deep learning, computer vision, and natural language processing) to generate insights and hypotheses from real-world electronic health record, claims, and various 'omics data.
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The Business Intelligence Developer ideally has experience with leading healthcare technology systems such as EMR (Epic), Claims processing (Epic), ERP (Workday), CRM, cloud based data platforms (Azure, Snowflake) etc.
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At least 2 years of relevant experience such as: SIU, healthcare fraud investigation, medical claim investigation, healthcare program integrity, data mining or analytics, healthcare claims payment processing, clinical experience, compliance, or certification as AHFI, CPC/CCP/CCS/CMC, or CFE.
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The Technical Support & Warranty Manager is responsible for overseeing the warranty process and providing oversight to the warranty admins and the processing of warranty claims. Manages reports on customer interactions, warranty claims, and related statistics.
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Responsible for understanding departmental charging processes, including electronic health record charge capture interfaces, claims denial analysis and claims processing compliance to support revenue cycle goals.
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Responsible for daily tracking of operational elements of physician practice to include encounters (open/closed), timely claims processing, accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up.
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The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
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Our Operations Divisions, also referred to as Commonwealth Alternative Care and Standard Farms, are market leaders in the cultivation, processing, production, distribution, and sale of a wide variety of cannabis products.
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
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Prior state government/public sector experience with health and human services programs (such as Medicaid, Medicaid Management Information System (MMIS), claims processing, eligibility, HHS analytics, Eligibility and Enrollment systems (i.e., NC FAST), etc.
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Work with key members of therapeutic area offices (e.g., providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
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claims processing jobs
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