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Actively involved in worker's compensation, assisting the occupational health nurse/third party administrator in effectively managing all open claims. Multi-facility industrial safety experience; direct personnel management experience, professional safety, or security certifications; bi-lingual capabilities is a plus; expert knowledge of health and safety disciplines related to food processing.
$46.09 - $52.52 an hourFull-timeExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Minimum of three (3) years of account management experience for a government or private sector client in health care with two (2) years of Pharmacy claims processing point of sale (POS)systems experience.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Assists product management and marketing communications with product claims, literature, application notes and manuals. To perform this job successfully, an individual should have knowledge of Internet software; Spreadsheet software and Word Processing software.
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
RemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Work with key members of therapeutic area offices (e.g., providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
RemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Responsibilities include reviewing and evaluating all claims for processing medical benefits. Two years experience processing medical claims. Our Client, located in Linthicum MD, has a temp-hire opportunity for a Medical Claims Processor to join their team.
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Working knowledge of medical coding and insurance claims processing required. Researches all credit balance accounts to ensure balance is actual credit prior to processing refunds for both insurance and patient amounts, including receiving refund checks, producing letters to patients and sending out checks and letters.
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Monitor equipment and tool warranty programs to insure warranty claims are forwarded to Asset Manager for processing. Assist Maintenance Manager in the repair and fabrication of equipment by performing basic to advanced welding techniques (MIG, TIG, ARC.
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Administers warranty claims, reviews warranty policy adjustments, understands and applies warranty guidelines, ensures correct processing of claims, and communicates warranty information and clarifications to customers.
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Responds to all Plan and vendor OPL inquiries including ones submitted via FEP Hub. Directs and executes activities for the internal Medicare Primary Denial Workgroup to include initiation of new central claims processing controls, in response to OPM and Office of Inspector General (OIG) audit findings, and management of the long-term effectiveness of those changes.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies.
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Our client base includes Fortune 500, Government, non-profit and emerging growth companies. The incumbent will handle pre and post claim medical review for Commercial, FEP and Medicare Advantage Plans.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and adjudication, Performs high-level research on topics identified as actual or potential medical policies.
$34 - $39 an hourExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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We offer solutions for Medicaid payments, healthcare, pharmacy benefits management and claims processing. Have experience managing teams delivering services, including Medicaid or healthcare call centers, pharmacy claims processing or other healthcare operations.
ExpandApply NowActive JobUpdated 5 days ago
claims processing jobs in Baltimore, MD
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