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Process SAP appeals in conjunction with a student advisor; responsible for making recommendation to the University's SAP appeal committee. In addition, the Dean of Nursing - Associate Nurse Administrator assists the nurse administrator in the fulfillment of the goals of the nursing program(s) and achieving the nursing program's end-of-program student learning outcomes and program outcomes.
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Person MUST come with 1 year of experience and knowledge in Veteran Affairs, Worker Compensation, Medicaid, Medicare Advantage, PPO and Prior Authorization Appeals. Person will be doing Verification of Benefits in the Appeals process for prior authorization / denials / exceptions, etc.
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Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. 3 to 5 years experience in working with mail service operations or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
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Job Description This is a highly professional, responsible position that assists trial court judges within the Eighteenth Judicial Circuit on a variety of issues in all areas of law including criminal, civil, family, probate, and appeals.
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Address claim denials and rejections through coding or medical necessity appeals, implementing corrective actions to prevent recurrence. Evaluate and report on the accuracy of various coding elements, preparing audit findings reports and providing education and training to ensure compliance and revenue integrity.
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Budgets, AR/AP Coding and Approval, Collections, Cash Management and Property Tax Appeals. Lease administration, enforcement and compliance, including working knowledge of the following: Defaults, Certificates of Insurance and Gross Sales.
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If this appeals to you, we invite you to explore the possibilities, and apply today! Robust benefits, including a 401(k) plan with a company match, AND a defined benefit pension plan. As a financial representative, you will work with current and prospective clients in your community, understand their financial needs, and recommend impactful solutions from a comprehensive lineup of products and services from a company with a heritage of financial strength and stability dating back to 1888.
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Position SummaryAs a Coordinator, Revenue Cycle, you will work in a pharmacy operation setting at our Patient Financial Service Centers, supporting the claims follow up, denial and appeals processes.
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Facilitate appeals process between the patient, physician and insurance company; compose clinical appeals letters based off of specific denial reason and patient's clinical presentation and coordinate appointment of representative document.
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Support the local HRBP in the employee appeals and grievance process. Support the local HRBP in the employee appeals and grievance process. Facilitates initiatives to foster a positive employee relations environment that aligns with the mission and values of Adventist Health System.
$31.83 - $47.74Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Dean of Nursing - Associate Nurse Administrator assists the nurse administrator for the nursing program at their campus and is responsible for leading, implementing, and maintaining learning and teaching strategies and initiatives that reflect the vision and direction of the School of Nursing.
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Volt is immediately hiring a Benefits Specialist in Orlando, FLPerson will be doing Verification of Benefits in the Appeals process for prior authorization / denials / exceptions, etc. Volt is immediately hiring a Benefits Specialist in Orlando, FLPerson will be doing Verification of Benefits in the Appeals process for prior authorization / denials / exceptions, etc.
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Minimum 2+ years of federal litigation, in dispositive motion practice, in appeals or as a federal law clerk. Minimum 2+ years of federal litigation, in dispositive motion practice, in appeals or as a federal law clerk.
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Provides resolution to grievances and appeals issues. The Pharmacy Tech ll REMS Fulfillment is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.
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