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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. May also engage in grievance and appeals reviews.
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Initiates and completes appeals process for reimbursement denials; notifies inpatients of denials received. Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer pre-certification and ongoing certification requirements and to share with those attending any pertinent data from third-party payer contracts.
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Acts as a brand ambassador and reflects the company values; partners with the store leadership team on the creation of an engaging experience that appeals to the FP customer. Collaborateswith key partners to effectively execute shipment processing, restocking, and placement of product while maintaining FP's visual and display standards; ensures omni-channel orders are processed timely and accurately.
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Delivers a seamless, omni-channel shopping experience through understanding and utilization of systems and applications. Urban Outfitters, Inc. celebrates diversity and is committed to creating an inclusive environment for all employees.
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The Office Coordinator provides critical support to the General Counsel as well as the related Business Areas of Legal Operations, Provider Compliance and Appeals Resolution and Quality Improvement.
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Vacancies will be filled in the following specialty areas: Office of Appeals Shared Administrative Support. 42 Vacancies- Will be filled in any Appeals location listed within this announcement.
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Description & Requirements Maximus is looking to fill an Coordinator - Appeals position. Preferred, but not required - Call center experience - Digital Mailing (Faxing) - Microsoft Excel - Ability to draft proper email correspondence - Proficiency with Microsoft and Salesforce programs - 2+ years office experience preferably medical EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
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Independent Office of Appeals: SPECIALIZED EXAM PRGRMS & REFERRALS (SEP&R) 1 position will be filled in the Independent Office of Appeals: SPECIALIZED EXAM PRGRMS & REFERRALS (SEP&R), Area 11, Team 2.
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Representing the Mississippi Department of Revenue in administrative appeals, as well as cases at the trial and appellate levels. Representing the Mississippi Department of Revenue in administrative appeals, as well as cases at the trial and appellate levels.
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If this role appeals to you and you believe you are able to meet the challenges above, please apply immediately. FPC of Ocean Springs is conducting a search for a Quality Manager with a metal fabrication company in Central Mississippi (about 75 minutes from Jackson.
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If this kind of opportunity appeals to you and you believe you are qualified, we invite you to. Madison Planting and Design Group has been providing fun and exciting careers since 2004. Group Benefits Plan (Including Medical, Dental, and Vacation.
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The merchandise lead will partner closely with the operations, sales, and visual teams to ensure new receipts are merchandised in a way that aligns with our brand, appeals to our customer and encourages her to buy.
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Are you interested in joining a leading full service landscape company in the Jackson, MS area? College Degree in Related Field and/or 2+ Years Landscape Experience. Ability to Read Landscape Plans and Layout.
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This includes monitoring safety plans and making referrals for services as appropriate, Prepare for, attend, and testifies in court hearings and administrative appeals on investigations, Participate in collaborative internal team meetings, Schedule and attend forensic interviews, autopsies, and other meetings regarding investigations, Document initial and ongoing work in accordance with established protocols, practices, and policies.
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Follows Medicare guidelines regarding patient choice, admit/discharge notifications, and appeals. Benefits: USRx Care & ScriptSourcing Pharmacy Benefits Teladoc® Allied health plan members (and their dependents – even if not covered under your Allied health plan)can access free sick or acute care consults with board-certified physicians 24/7 (AD&D) Accidental Death & Dismemberment benefits Disability - Long-Term and or Short-Term Disability Supplemental Benefits - Accident & Critical Illness Cancer benefits.
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appeals job in Ridgeland, MS
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