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Report all claims, accidents, and incidents to HR (Human Resources) and the Area/Regional VP immediately, while handling appropriately, with urgency, care, and concern. Adhere to Evolution's employment and payroll policies and procedures to limit exposure to employment claims and litigation.
$60,000 - $70,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Demonstrate the ability to positively move the metrics for forecasting, productivity, claims, guest service and turnover. We operate and manage the parking and front door services and the exceptional team members that make it all possible at America’s finest hotels such as the Waldorf Astoria, Renaissance, Hilton, Marriott, Sofitel, Hyatt and countless more.
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The data science team at Kin is a centralized department supporting the rest of the organization, including underwriting, claims, insurance product, operations, finance, and marketing. Researching advanced AI techniques to advance the industry, including building a computer vision model, and developing state of the art NLP models to interpret documents and assist in claims handling.
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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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The Service Warranty Administrator is responsible for reviewing and completing warranty claims. This includes preparing, recording, reconciling warranty claims and submitting them to the appropriate party.
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Prior experience in or the ability to quickly gain a deep understanding of the healthcare payer ecosystem, claims processing and provider networks landscape, and payment integrity to support expansion of existing products and launch and commercialization of new products is critical to the role.
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The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
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Position Overview At Zelis, the Business Analyst - ECR is ultimately responsible for enabling high quality user stories under our Expert Claims Review (ECR) product umbrella, which consists of Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions.
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Ensure timely claims submissions, denial management, payment posting. Strong experience in financial performance (Charge Capture, Payment Posting, Denial Management, Payor Collections, Coding Trends, Payor issues.
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PPO dental and vision insurance networks; employer-provided life, short-term disability, and long-term disability plans that start date of hire. Experience in alumni engagement, volunteer management, business development, fundraising, program development, or advancement a plus.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Works closely with manager claims examiner, legal counsel, medical director, claims assistants, and other departments. Monitors claims for fraud and proceeds accordingly. Up to 2 years experience in claims.
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The Optical Accounts Receivable Specialist will be responsible for documenting patient accounts with claim status, composing targeted appeals for claims that have either denied or not paid appropriately, and researching and reporting denial trends to management.
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At Zelis, we're looking for a skilled Technical Writer to join our team as a specialist within our Price Optimization, Claims Editing organization. As a Technical Writer, your main focus will be on creating clear and concise documentation to explain the intricacies of our claims editing processes.
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The choice of 3 Medical Plans, including a PPO, HDHP with Portillo’s HSA contribution. Monthly “Franks a Lot”Team Member appreciation. Able to work with a sense of urgency to make our long lines look like a piece of cake, chocolate of course.
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Perform trend analysis to understand changes in the frequency and severity of insurance claims. ACAS or FCAS designation preferred but not required. We have assignments available to help our insurance carrier clients in Actuary or Associate Actuary positions.
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ppo claims jobs in St Petersburg, FL
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