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We are actively hiring for a Third Party Risk Management Specialist. Regulatory Compliance: Stay updated on relevant laws, regulations, and industry best practices related to third-party risk management.
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The Field Service Engineering Specialist (for Electric Actuation & Digital Products) is a customer facing extension of the Flowserve digital products and automation engineering team.
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The Medicare Billing Manager is responsible for overseeing all aspects of billing, revenue cycle management, and claims processing related to Medicare and other third-party payers.
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For cavenders.com, working closely with ecommerce supply chain and customer service teams as well as directly with 3rd party providers. If you have a disability and need assistance completing the application, please call Customer Service at (888) 361 – 2555 or visit your nearest Cavender’s store.
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Experience Requirements Experience with third party payer billing regulations, reimbursement requirements, precertification, insurance eligibility verification, and/or utilization management is preferred.
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The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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Critically review business relationship submissions in the Third Party Risk Management Gateway, the system used to clear potential business relationships within specified time frames. Create and present training sessions to internal groups related to the use of the Third Party Risk Management system.
$135,800 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The ICN Business Relationships team performs a critical consultative, quality-assurance, and risk-management function for the Deloitte US Firms, helping the organizations remain unbiased and independent when entering into business relationships with third parties.
$135,800 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Perform follow ups with third parties and internal teams for additional information. Deloitte's independence requirements are defined by specific sets of policies and external rules and regulations to help us remain independent when providing service and creating business relationships.
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The Recovery Specialist is responsible for the efficient use of a variety of internal Revenue Cycle systems and performs tasks for claims processing, registration and billing edits, claim edits and payer rejections.
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Bethany Medical Center (BMC), a Multi-Specialty physician practice located in High Point, Greensboro, Winston-Salem, Kernersville, Mt. Airy and North Wilkesboro, is seeking a Full Time Medical Billing Specialist.
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Experience using third party risk management /Governance, Risk and Compliance (GRC) systems. CNB established the Vendor Management Office to support the third party risk management framework.
$138,965 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Serving as the Project Manager on assigned third-party tax software implementations (Vertex, Thomson Reuters OneSource, Avalara, Sovos). Managing assigned system integration projects that involve major ERP and billing systems, such as SAP, Oracle, PeopleSoft, JD Edwards, Microsoft Dynamics, NetSuite, Coupa, Ariba, etc.
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Reviews the medical/surgical treatment plan with third party payors to obtain authorization for pre certification, admission and continued stay. Obtains pre-certification from third party payors as required.
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The key responsibilities of the role include:Serves as a liaison between Global AML and corporate functions including Audit Services, Global Compliance Testing, Model Risk Management Group, Third-Party Management Office, Procurement, Global Business Continuity and Recovery Services, Operational Risk Management, and others.
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