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Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as MCW/CPS and compliance policies and procedures.
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Responsible for managing third-party subrogation claims for which the company is not liable. Forward necessary information to insurance carriers and maintain accurate documentation of claims by placing copies of all related paperwork in RMIS. Actively track open claims and interface with Miller Pipeline's insurance carriers, physicians, and other third parties to ensure that claims are being managed aggressively.
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About Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Advanced knowledge of acceptance testing, commissioning and calibration of linacs, simulators and brachytherapy sources, clinical dosimetry of external beams and implant sources, patient setup, computerized treatment planning for special procedures that may include: HDR, LDR, total body irradiation (TBI), stereotactic radiosurgery, stereotactic radiotherapy, gamma knife and cyberknife.
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Position Summary: Case management with intensive support, supervision and monitoring of third and greater OWI offenders who are participating in the Jefferson County Alcohol Treatment Court, as well as providing case management of Jefferson Drug Treatment Court Participants.
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As a valued member of our team, in addition to claim, you also will provide legal advice to our underwriting colleagues and non-attorney claim colleagues, and participate in BSI claim strategic initiatives.
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If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email ( or speak with your recruiter.
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This role supports the corporate secretary and compliance function of the Company as well as attorneys within the legal department. A. O. Smith is seeking an enthusiastic and highly motivated corporate and compliance legal assistant to join its corporate legal department.
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The McShane Companies (McShane Construction Company, Cadence McShane Construction Company, and Conor Commercial Real Estate) do not accept unsolicited resumes, candidates' names or summaries from staffing agencies, search firms, or third-party recruiters.
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The successful candidate will play a key role in building the team, keeping the staff and customers happy and helping us be the best place on Old World Third Street. Benefits: Company parties Competitive salary Employee discounts Flexible schedule Opportunity for advancement Lead Line Cook We are looking for a professional morning shift lead line cook to add to our culinary team.
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For each procurement project, ensure project alignment and drive collaborative procurement efforts with the necessary cross-functional counterparts and matrix teams (e.g. IT, Risk Management, HR, Compliance, Legal, Real Estate, etc.
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Lead supplier contracting negotiations and execution, collaborating with corporate legal for escalation of certain risk-related terms and conditions. Advanced degree in business, finance, and/or legal is highly desirable.
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1-2 years’ relevant experience required, preferably in a legal environment. The Administrative Resource Team (ART) Assistant works within the Firmwide Administrative Resource Team to provide remote administrative and clerical support to PST Specialists and Resource Center Specialists.
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And with more than 1,000 specialized recruiters and in-house licensing, credentialing, travel, and legal teams, we can take care of all the details, whatever the position. You will enjoy four seasons of recreation including all water sports, sailing, kayaking, mountain biking, hiking, soccer, and down-hill and cross-country skiing.
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The Fund CFO will play a key role in managing the fund operations of Northwestern Mutual Capital’s third-party junior debt funds. Requirements include a four-year undergraduate degree in finance or accounting (an MBA or CPA is preferred) and a minimum of 10 years of experience in public accounting, private equity-related fund administration, or other related industries with a track record of strong professional success.
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Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
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legal third party jobs Company: Accenture in Milwaukee, United-states, District Of Columbia
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