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This is NOT an IT role and it will be configuring our Facets claims payment operating platformProvidence is seeking a Facets Configuration Analyst, who will: Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES.
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3) Procurement Specialists must assist the account managers with any callbacks or warranty claims. 4) Procurement Specialists must be knowledgeable about all facets of Steel Buildings from design to completion and will be proficient in the technical aspects, including reading blueprints, site planning, snow load, wind load, etc.
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XX+ years of Experience in FACETS applications custom functions development and testing Claims processing Applications, Membership , Provider etc. TriZetto Facets Ver 6 and above, Facets Web Interface, Jenkins, Facets HIPAA gateway, EasyGroup, DROOLS, Oracle, SQL Developer, MS Office etc.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Bachelor's Degree CLAIMS,EXCEL,FACETS,SERVICE LEVEL AGREEMENTS,MS OFFICE Address: 200 Stevens Drive, PA001. Under the direct supervision of the Provider Enrollment Supervisor, the Provider Enrollment Specialist is responsible for maintaining both participating and non-participating provider records in the provider database, mapping claims in the invalid provider queue, resolving provider related issues for claims suspended to Provider Enrollment.
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Assist in providing training and continuing policy education on all facets of operations of HCSC to provider staff and others as needed. Provide information and assistance needed to resolve problems experienced by practitioners in their various contractual relationships with HCSC, including but are not limited to claims, pricing, or contracts.
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Claims processing technologies, such as QNXT and Facets. IS Development Manager - Claims. Claims processing technologies, such as QNXT and Facets. This is a fully remote role, but you must reside in one of the listed 9 states.
$87,135 - $105,435 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Perform routine and ad hoc analysis of various facets of claims processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes. JOB SUMMARY: A Client Implementation Analyst is responsible for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing.
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Manage the efforts to fulfill a client request to access MultiPlan Products, and to customize how they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows. Ensure proper setup of all systems that support file transfer and claims processing between MultiPlan and clients.
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Hinckley Allen is seeking a mid-level associate to join our team of attorneys representing construction clients in all facets of their businesses – from bid protests, claim preparation and presentation, and negotiations, to mediations, litigation, and appeals.
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These claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time technology). Implement process improvements to enhance the efficiency of claims workflows.
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Promptly triage and resolve escalated EDI issues called into the Multiplan Service Desk. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.
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In this role, the Complex Claims Director will have a unique opportunity to handle and adjust all facets of Architects & Engineers Professional Liability claims in a highly collaborative team environment, dedicated to best in class claims handling.
$125,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Under the guidance of Sr. HR Director, work with the legal department to respond to EEOC claims and other employment-related legal matters as they arise. We are seeking an experienced HR professional who is able to effectively influence, lead and execute across multiple facets of HR to include recruitment, engagement and retention, coaching and counseling, employee relations, policy and procedure administration and HR compliance.
$77,388 - $113,427 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are seeking Full-Time Medical Billing Manager to provide supervisory oversight and management of all facets of the billing team. Perform full-cycle revenue management including: Submitting claims, follow-ups, dispute, correction, and resolution of denied/rejected claims.
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