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Responsible to work claim rejections due to provider, enrollment, NPI or taxonomy related issues returned by the payor preventing claims submission or causing payor denials. Works with various departments throughout the organization and insurance carriers to resolve issues related to provider, enrollment, NPI or taxonomy related issues.
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Includes accurate and timely eligibility, enrollment, EOI, billing, COBRA, and other benefit changes. The Benefit Integration Analyst will be responsible for benefit administration of employer-groups clients, EDI/API connections, carrier & vendor integration, member enrollment, eligibility management within HRIS system (Employee Navigator, Ease, iSolved, bswift) and customer service.
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Working in a SBO (Single Billing Office), environment the Revenue Integrity Billing Specialist will need to have knowledge in Hospital and Professional Billing in order to assist with questions and accurate routing of charges.
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In this position, you are responsible for reviewing requirements documentation to build the bswift benefit administration platform, testing sites to go live, updating sites for open enrollment, testing new system functionality, and coordinating internal teams to ensure internal teams have what they need for accurate data imports, EDI file testing, billing administration, and COBRA administration.
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The Benefits Analyst & Retirement Specialist is primarily responsible for providing day to day processing, ensuring timely and accurate processing of enrollments and dis-enrollments in PeopleSoft and CalPERS. Interpret and apply complex policies, and procedures and laws to ensure program compliance.
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Using Workday Student and other shadow systems, coordinate pre-registration, waitlist and quarterly class enrollment processes, as needed. Execute database queries in Workday HR, Workday Finance and Workday Student to retrieve up-to-date information and maintain accurate records.
$25.24 - $29.01 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Under the direction of the Dean of Career Technical Education, the Program Coordinator II (CTE Pathways, Non-Credit, and Dual Enrollment Coordinator) will provide overall direction and guidance in the day-to-day operations, problem solving and decision-making regarding De Anza College's career technical education (CTE) Pathways, Non-Credit, and Dual Enrollment Programs.
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The Director of Enrollment Data and Retention at Southwestern Oklahoma State University will be responsible for analyzing, monitoring, and sharing key enrollment-based data elements to ensure institutional enrollment goals are met.
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This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for accurate capitation reimbursement from Medicaid and Medicare, generating accruals for Accounting.
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A bachelor's degree in Exercise Physiology or a related field is preferred, or proof of enrollment in a fitness related degree program AND/OR a nationally accredited Personal Trainer Certification (as listed above.
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Collaborate with the AVP, Marketing & Brand and DEM on key audience-focused digital marketing initiatives aligned with the undergraduate enrollment funnel including but not limited to search engine marketing, digital display, audio/video streaming, remarketing/retargeting, and paid social.
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The Billing Specialist will work directly with Service Line Directors, Finance Directors, Practice Managers and Provider Enrollment teams within BILH to obtain required information. Responsible for the mentoring and training of new and existing staff as it related to enrollment, NPI, SER and taxonomy following policy and procedures.
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Medical, Dental, Vision, Disability, Life, Supplemental plans - Hospital indemnity/ Critical Illness, Pet Insurance, Dependent Care Savings, Health Care Savings, 401K with employer match - 100% vested upon enrollment, Generous PTO accrual, Wellness programs, Tuition Reimbursement and Scholarship Programs, incentives, and more.
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Supports the administration of the financial systems including, but not limited to: maximizing enrollment, weekly billing and rosters, Tuition Express enrollment and transactions, late fees and large balances/collections, CAPS and Private Pay Attendance being accurate in the school software, staying in line with provided payroll budget.
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The Enrollment Coordinator is responsible for ensuring that funding requirements such as Child Care Eligibility Applications and Re-determinations are completed and submitted in an accurate and timely manner in order to maximize billing and funding levels.
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enrollment accurate jobs
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