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The Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims, utilizing Frameworks LTC Pharmacy system.
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We are looking for a Third-Party Risk Management Specialist who is early in their career and can leverage interpersonal and communication skills in concert with deep security and technology expertise to enable business opportunity through efficient and accurate reporting of the state of Security and Privacy in the organization.
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The Manager of Third-Party Risk Management is a career opportunity that will support the bank's continued growth through FinTech partnerships. This individual will help design the overall third-party risk management, assess risks associated with key partners and vendors, coordinate due diligence and ongoing oversight efforts, and develop management and board reporting materials to facilitate key governance routines.
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1-2+ years of experience in Third Party Risk Management, Vendor Management, or experience in Governance, Risk Management and Compliance (GRC) A track record in third-party risk management and vendor assessment processes.
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You will be an active participant in the development, implementation, and execution of The Trade Desk's Third-Party Risk Management Program. Maintain up-to-date records of all third-party risk assessments and compliance status.
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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.
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Aravo was founded to bring order to the complex, chaotic world of enterprise Third Party Risk Management. We deliver the market-leading enterprise SaaS solution for managing third-party risk and compliance, helping Global 2000 companies protect their brand, build customer trust, and drive principled performance.
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The Commercial Auto Claims Adjuster will be responsible for evaluating and resolving all components of first and third-party auto claims. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing.
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General knowledge of third party payors, PPO, HMO, POS, EPO, workers compensation, Medicare, Medi-Cal, and Cal-Optima preferred. Identifies patient responsibilities, insurance reimbursement and other 3rd party reimbursement sources.
$21 - $23.66 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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Maintains and demonstrates advanced knowledge and understanding of medical terminology, coding and billing, fraud investigation techniques, legal briefs, surveillance and investigative reports.
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As a Special Investigations Unit (SIU) - Investigator, you are responsible for conducting in-depth investigation of questionable and potentially fraudulent claims for all lines of insurance sold by Federated Insurance Companies.
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We are seeking a qualified medical billing and coding specialist. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
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The Insurance Verification & Authorization Specialist may function as a billing specialist and will follow uniform billing procedures and practices according to Medicare, Medicaid, 3rd party payers, and private pay in accordance with the HIM-11 guidelines.
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Essential Duties and Responsibilities As a Billing Specialist, you will take the data provided by the medical coders and use it to compile and submit claims to insurance companies.
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third party medical insurance billing jobs Title: specialist billing Company: Gpac
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