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The company also provides managed care services, including claims processing, stop-loss insurance, provider network access, medical management, care management and wellness programs, actuarial services, and other administrative services.
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This includes collision, comprehensive, property damage related to autos, rental and towing as well as fire, theft, flood, lightning, diminished value claims and any claims that involve injuries.
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Manage workers compensation, general liability and automotive liability cases; manage claims with medical team and coordinate with the insurance provider and legal counsel. We’re more than just a manufacturer of precast concrete, polymer concrete, or plastic products.
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We provide high quality and cost-effective "hands-on" restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require. As we strive to accommodate our customers and their restoration needs, Prism Specialties expanded into art restoration, document restoration, and textile restoration.
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Generate and process claims from provider documentation to submit claims to appropriate payer in accordance with Medicare, Medicaid, Managed care, and commercial insurance policies for proper reimbursement.
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Your role is as a public health data analyst/ visualization Power BI dash boarder is to work closely with your client to analyze and prepare complex dashboards against public health datasets including pharmacy, hospital, and healthcare claims data.
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These records are important for tracking system performance, identifying recurring issues, and providing documentation for warranty claims. Job DescriptionJob DescriptionHVAC Technician - Covington, GAJob Description:As an HVAC Technician, or Heating, Ventilation, and Air Conditioning Technician, you'll be responsible for installing, maintaining, and repairing heating, cooling, and ventilation systems in residential, commercial, and industrial settings.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Provide captive clients, claims TPA and third parties with requested policies, endorsements, proof of insurance and other documents as requested. Associate in Underwriting (AU) and/or Chartered Property & Casualty Underwriter (CPCU) designation (desired.
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Facilitate and deliver industry, company, and educational presentations to insurers, case managers, physicians, risk managers, life care planners, attorneys, claims adjusters, discharge planners, other potential referral sources.
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The administrative services we provide include claims processing, network management, and utilization review. Point C Health is hiring a Regional Sales Director as a full-time job in the Southeast.
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One of the following areas: accounting, claims, inventory control, systems/UPC, personnel, or loss prevention/asset protection in a multi department. Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
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Facilitates process for requesting and submissions of authorizations and prior authorizations for insurance claims. The Authorization Specialist verifies initial and ongoing payer authorization (patient insurance and benefits, patient referrals, insurance authorizations, worker's compensation cases, patient financial counseling, and medical billing functions) and eligibility.
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Duties will include insurance claims submission, re-submitting and appealing denied claims, creating and sending client invoices, recording and reconciling client payments, and communicating with clients about payment questions.
Part-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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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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claims job in Stone Mountain, GA
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