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The Senior Claims Coverage Counsel works independently and will act as a resource person and consultant on issues within area of specialty. The Senior Claims Coverage Counsel will advise the business on general claims legal matters and support the Manager, Claims Coverage Counsel and internal clients across the enterprise on claims coverage involving matters of moderate to high complexity and/or financial consequence.
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This developmental position prepares you for the role of Litigation Specialist and provides front line handling of moderately complex commercial, inland marine, and construction defect claims and litigation files within an assigned territory.
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Supports and participates in risk reduction activities to manage claims, reduce injuries and reduce workers compensation costs including: ergonomics, manual handling, industrial hygiene and machine guarding.
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Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing. Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses' analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
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Professional and Safe Work Environment –As a member of the National Association of Spa Franchises, Hand and Stone has taken strives to reduce misconduct claims in the industry, promote professionalism and make massage therapy a safe, professional, and rewarding career.
$40 - $55 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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Extract and analyze large healthcare claims using SAS, SQL, R, Python, Teradata, Hadoop, etc. Comprehension of healthcare data (e.g., ICD-10, claims) and demonstrated understanding of health care and delivery system processes.
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All Supplies Provided - Basic lotions and oils, as well as CBD oil, Aromatherapy, contrast stones, bolsters, spa room amenities; towel warms, adjustable lights/music/tables, and so much more! Our Hand and Stone Massage and Facial Spa franchised at The Waverly Place in Cary, NC wants to give massage therapists a healthy and healing environment to explore whichever paths are calling you.
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Employs a full range of marketing tools, including brand positioning, research, product development, claims development, package design and creative operations. Delivers periodic marketplace analyses to help identify business opportunities within products & claims.
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In addition, you're an analytical thinker and excellent communicator with experience developing real-world evidence from real-world data (e.g., healthcare claims or electronic health records). Build subject matter expertise and discuss capabilities of a variety of different Flatiron data modalities, including EHR-derived real-world data, clinico-genomics data, and claims data, with biopharma clients.
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Reviewing and challenging (when applicable) warranty claims (RMA); Internal ISO auditor for the SC team. Good experience with the printed circuit board and box build assembly processes; Trilliant offers a universal communications platform that is at the convergence of the smart grid, smart city, and global Industrial Internet of Things (IIoT) applications.
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We are looking for a Liability Claims Manager to join our team! Four (4) years of corporate risk management, liability claims handling, or brokerage experience; Serves as the direct contact within the company and with insurers, brokers, and outside counsel for assigned liability claims.
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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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Experience utilizing a range of analytics involving standard data in the Pharmaceutical Industry e.g. IQVIA (MIDAS, DDD NPA, Monthly Xponent), claims data (TRUVEN, Marketscan), Epidemiological data etc.
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claims job in Raleigh, NC
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