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Experience in the design of civil infrastructure such as site planning, roads, drainage, grading, earthworks, containments, deep excavations, ponds, storm water management and erosion and sedimentation control water systems, sanitary sewer systems and other municipal infrastructure.
$93,400 - $135,400 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Claims Manager supports medical insurance customers (including administrators, MGUS, brokers) by confirming eligibility, determining insurance coverage, examining and resolving medical stop loss claims, documenting actions, maintaining quality customer service, ensuring compliance.
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Full ownership and accountability for all Quality Controls Assurance programs, activities and reviews, including claims reviews; call center and digital communications reviews; Medicare Risk Adjustment, HCC, clinical and coding reviews; DRG and medical records reviews; technology/systems and coding upgrade and implementation reviews (e.g. final user acceptance testing, etc.
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Expert knowledge of Medicare, MassHealth and commercial insurance pre-claims requirements, regulations and guidelines. Our onsite patient-facing Patient Financial Coordinators play a vital role in the Dental School’s revenue cycle management, ensuring patient services payments in full, which has a direct impact on the Dental School’s clinical services financial and claims outcomes success.
$24 - $33.1 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience advising on statutes, regulations, and guidance documents applicable to market access activities, including Medicaid, 340B program, Veterans Administration, federal and state anti-kickback statutes, state drug pricing transparency laws, OIG guidance documents and advisory opinions, the False Claims Act, and the PhRMA Code.
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Job Opportunity: Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an analytical and technically minded Water Resources (Flood) Engineer with expertise in inland and coastal flood risk modeling (including storm surge) to join the Catastrophe Engineering and Analytics (CAT E&A) team.
$100,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Updates water quality parameters in the model as a result of the Green Infrastructure Improvements and the removal of illicit connections to the storm drainage system. Prepares plans for sampling projects involving water, sewer and drain systems.
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Reviews clinical data from EpicCare and outside claims to ensure that all chronic disease (HCC or other risk model) diagnoses have been identified and appropriately captured on the patient's medical record problem list.
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Coordinate with design staff for development and infrastructure-related projects for hydraulic equipment, water distribution, sanitary sewer collection, stormwater, roadway, street, bikeway, erosion control, grading, storm drainage, dams, and reservoirs.
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For this position the Civil Aviation Engineer-EIT will perform a variety of tasks which may include assisting with the development of plans and specification for airside facilities such as runways, taxiways, and aprons, as well as landside roads, general civil/site development, storm water collection and treatment, and other related projects.
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LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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Evaluate claims and coverage disputes, conduct legal research, and draft coverage opinions and coverage position letters. Handle a diverse caseload of civil litigation matters, including but not limited to commercial disputes, personal injury claims, employment litigation, and contract disputes.
RemoteExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Responsible to work claim rejections due to provider, enrollment, NPI or taxonomy related issues returned by the payor preventing claims submission or causing payor denials. Independently works on the resolution of complex claims issues, denials and appeals.
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CLF's Strategic Litigation team works on groundbreaking environmental law cases, currently including climate-change liability claims against the world's largest oil and gas producers and cases that will reduce nutrient pollution that fuels toxic algae outbreaks.
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3-10 + years of experience with casualty claims and assumed reinsurance claims. Investigate, evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices and company procedures.
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storm claims jobs in Winchester, MA
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