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The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Be fluent working with large, complex medical claims data using analytics technologies (SQL, SAS, Python/Pyspark, Databricks, Microsoft Azure, PowerBI) and analytics methodologies (exploratory/descriptive analysis, predictive modeling, causal outcomes research, and data visualization.
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In order to help clients, reduce costs, improve health outcomes, and respond to public health crises, our Health Technology practice addresses critical health agency issues including: claims management, electronic health records, health information exchanges, health analytics, and health case management.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on. Familiarization with on-line claims processing and Medicaid and Medicare billing practices.
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Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Exemplary ongoing funded research by faculty includes: application of AI to cardiovascular disease, use of EHR data for medication reconciliation, primary care outcomes and quality metrics, use of Medicaid claims data in research on: (1) Hepatitis C, (2) behavioral health, (3) substance abuse, (4) cancer, and (5) diabetes.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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The position also assists in the management of liability claims against Norton Healthcare entities or employees, with the objective of controlling and minimizing loss to protect the organization's assets and promote optimum levels of patient safety and quality service in the delivery of healthcare.
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Successful completion of Associate in Claims (AIC) program preferred. Also assists assigned field office when not on catastrophe deployment in handling day to day property claims. Exercises independent discretion or judgment in handling all types of catastrophe property claims.
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Assists assigned field office(s) as necessary when not on Catastrophe Duty; brings assigned property claims to conclusion. Five years of claims handling experience, or equivalent, including two years ofproperty claims handling experience, required.
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Ethics & Compliance teams provide coordinated advice and assistance on independence, conflicts, regulatory and risk management issues, as well as dealing with claims, and any queries regarding the organization’s ethics.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Monitors unemployment claims by reviewing and processing required paperwork expeditiously and keeping VP of Human Resources abreast of progress in claims. SHRM-CP, SHRM-SCP, PHR, etc. Monitors unemployment claims by reviewing and processing required paperwork expeditiously and keeping VP of Human Resources abreast of progress in claims.
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Focal points within this industry include positioning and go-to-market for advanced technology designed for areas of Property Insurance tech: Claims settlement processes, desk and field adjuster workflows, exterior and interior inspections, estimate writing, and beyond.
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Investigate the facts and circumstances of alleged crimes and claims by gathering documentary evidence and interviewing witnesses. Familiarity with topics such as mental health, mental disability, trauma, racial justice, poverty, and other relevant topics.
$47,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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You’ll provide advice covering solvency, economic capital, risk management, mergers and acquisitions, company restructuring and risk control, financial modelling, underwriting, new legislation, and the efficiency of claims or reporting processes.
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Can you resolve roof warranty claims onsite? Do you know how to resolve customer care claims in your territory? We use water-based, biodegradable chemicals that emulsify dirt and grime, breaks down bugs nests, and cobwebs, as well as kills mold, mildew, algae, and bacteria, and sanitizes the surface we are cleaning.
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claims job in Louisville, KY
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