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In this role, the PSR will perform appropriate and timely charge entry, if not performed electronically through an EMR, for all patient visits including a review of encounters and recommendations for appropriate procedural coding, manage cash drawers according to established protocols, post cash to patients accounts, manage patient responsible account balances at the time of service, and correct assigned claims edits for expedient submission to carriers.
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Verifies eligibility, submits HSNO claims to state and further reviews related MMIS and HSNO denials. Must be able to assist patient in filling out state applications, or other assistance applications for available programs that may assist patients in meeting their financial obligations, such as Uninsured Relief, Copay Relief, Self Pay Mammo Program, HSNO Uninsured ER Free Care, etc.
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
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6 months of experience supporting at least 1 of the following areas of the business: Personal Lines, Commercial Lines, Product/Underwriting, Market Pricing, Claims. The Actuarial Analyst assists in developing actuarial analyses in accordance with CAS (Casualty Actuarial Society) principles.
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In this position, individuals will be handling a pending of Automobile Casualty losses to primarily include moderate severity Bodily Injury and Un/Under Insured Motorist claims. The individual will also be exposed to and responsible for litigation and/or arbitration management of claims.
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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As An Auto Damage Claim Rep, you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining coverage exposures, and settlements. Fraud Identification - Identify potentially fraudulent claims for transfer with Supervisory input.
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Identify, assess, and mitigate issues related to scheduling, logistics, sequencing, cost, quality, and progress as well as negotiating claims and change orders. We have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women’s Organization and ongoing philanthropic opportunities.
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