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Answers questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, medical records and patient referrals. Patient Service, Patient Representative, Administrative, Receptionist, Clinic Receptionist, Customer Service, Admitting, Patient Service Representative, Patient Access Representative, Teller, No experience, medical office, health care, healthcare.
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Manages moderately complex cases involving alleged bodily injury, personal injury, and property damage by interviewing key witnesses; securing evidence; analyzing evidence; reviewing applicable laws; interpreting medical reports; deducing causes and responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims related to a single event as required.
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Monitors and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims; rescanning illegible images; alerting patients to inventory that is out of stock, partial fills, and the need for physician authorizations on refills; and identifying situations requiring pharmacist's action.
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Oversee administration of warranty claims as well as training and supervising of service department. To make roads safer in NW Arkansas for Cyclists & Drivers we have partnered with Bike-NWA. We are the only family owned Chevrolet Dealership in NW Arkansas.
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Also leads Utilization Management to include Policy, Appeals & Denials, and integration with Claims adjudication. Responsible for the oversight of 4 departments, and growth of directors and associate director, fully developing leaders of leaders: Case Management, Disease Management / Personal Nurse, Utilization Management / Appeals, and Experience and Optimization team.
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Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accidental and weather-related claims for homeowners, commercial properties, and large losses.
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Contract Management: Direct leadership and supervision of a team that manages administration of contracts, physician roster management, CDO presence in payer directories, claims payment issues, etc.
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Maintain good working relationship with factory(s) and foster positive employee relations. Provide concierge support for all owner inquiries, whether phone or in person, to assure the customer does not get mishandled.
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Collaborates with Medical Directors and other leaders within Medical Management, HGB and Humana to develop Population Health strategies to improve overall health; meet DoD readiness requirements; and provide a best value approach for the TRICARE line of business.
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File warranty claims in a timely fashion. Reporting to include: - Equipment due for service - Fleet status Reporting - Equipment Service Record Reporting - Open work order report - Warranty claim summary report - Inventory management - Parts & merchandise detail reporting - Financial and historical trending - Service department financial summary - Shop foreman performance tool - Work order chargeback - Halt report - Open PO report - Tech paid hours vs.
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Gather necessary items from carrier to expedite the hiring process and ensure all contract and insurance requirements are complete; maintain involvement in the carrier onboarding process to reduce risk, claims, fraud, and double brokering.
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The Business Manager Assistant will be responsible for customer forms creation, client financial tools, trade spend reconciliation, order and claims alerts, data submissions and support. The Business Manager Assistant will be responsible for customer forms creation, client financial tools, trade spend reconciliation, order and claims alerts, data submissions and support.
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Analyses and assesses problems regarding clients claims procedure and business operations based on appropriate audit concepts. Provides senior level input/research on claims challenged by client.
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Knowledge and experience in Kafka, Storm, Druid and Presto. Tech Skills - Scala, Spark, GCP, Dataproc, Hadoop, Airflow, SBT, Maven, Docker, Kubernetes, pyspark, Jenkins, Bigquery. Knowledge and experience in Kafka, Storm, Druid and Presto.
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Work closely with all functional areas that contribute to Implementation such as (but not limited to) BI/Think Tank, Finance/Accounting, IT, Claims, etc. Transplace, an Uber Freight company, powers one of the largest managed transportation and logistics networks in the world.
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storm claims jobs in Rogers, AR
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