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Uses electronic data processing (EDP) systems for inputting data related to claims adjudication, processing, monitoring, and correspondence preparation. Specialized experience is defined as work that involves: Experience in the development, examination, investigation, adjudication, death pension benefits, life insurance benefits, etc.
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Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. This role will be performed onsite at a closed-door pharmacy in Indianapolis, IN, 46278.
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The Pharmacy Technician I is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. Third Party Billing and adjudication experience is preferred.
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This position requires completion and favorable adjudication of a background investigation prior to appointment, unless a waiver is obtained. The work requires a comprehensive knowledge of the ATC field and familiarization with the many integral components of the industry which comprise the National Airspace System.
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Monitor onboarding adjudication status, network account requests, PIV status, and escalate risk issues with the COR. GovCIO is currently hiring for a Part-Time (20hrs per week) Security Onboarding Specialist.
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To analyze Liability Claims Examiner claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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The Coordinator -Pre-Employment Background Screening will be responsible for the review and adjudication of candidate's background report such as MVRs, criminal, employment, and education background reports to ensure compliance with Ryder's policies as well as Local, State, Federal regulations.
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The claims processing department handles all aspects of the claim adjudication process from receipt of the claim, signature collection, validation of clean claims, auditing and managing the claims process.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Utilizes pharmacy’s adjudication platform, to enter required information in order to record all legal requirements for preparation of prescription verification by Pharmacist. Experience with pharmacy adjudication platform.
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Candidates must reside within 50 miles or 1-hour commute each way of 4740 Victory Lane Indianapolis, Indiana. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies.
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PharmScript is one of the nations leading pharmacies, partnering with long-term and post- acute care facilities to supply medications to thousands of residents and patients.
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Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ()We endeavor to make this site accessible to any and all users.
Full-timeExpandUpdated 8 days ago - UpvoteDownvoteShare Job
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Monitor quality events in data entry and adjudication for correction and process improvement. Monitor and report quality events in data entry and adjudication for correction and process improvement.
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Subject to satisfactory adjudication of background investigation and/or fingerprint check. Assisting community-based organizations, Resource Conservation & Development Councils, Soil and Water Conservation Districts, and other groups with coordination of project activities to encourage underserved participation in conservation programs.
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Explains both the differences and coordination between the disability policy/benefits and the SSA's benefits/adjudication. Hybrid/Flexible : Work at home and use the office as appropriate for in-person collaboration.
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adjudication job in Indianapolis, IN
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