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Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing. Provide a stellar customer experience while accurately and efficiently completing all steps of reception, data entry, adjudication, and product dispensing.
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The Provider Reimburse Admin ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
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PREFERRED GEOGRAPHIC LOCATIONSLas Vegas, NV - OnsitePRIMARY PURPOSE OF THE ROLE: To analyze low-level Workers Compensation / Medical-Only claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety. Any equivalent experience of a pharmacy technician- Support company health and wellness initiatives.
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Establish direct relationship with key departments including pharmacy, underwriting, medical adjudication, claims and provider relations, and assist with issues and/or concerns. Establish direct relationship with key departments including pharmacy, underwriting, medical adjudication, claims and provider relations, and assist with issues and/or concerns.
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Maintain contact with insurance adjusters and/or personal injury attorneys during the claims adjudication process to ensure that the hospital bill/lien is paid timely and in full. Specifically, this position is focused on the effort to obtain accident details and insurance information from hospital patients and from other sources (all contact being made over the telephone), to request hospital liens and bills to be submitted to identified insurance carriers, and to communicate with both insurance adjusters and personal injury attorneys during the claims adjudication process to ensure that the hospital receives payment on submitted bills and/or liens.
$21 an hourFull-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Subject to satisfactory adjudication of background investigation and/or fingerprint check. The USDA Forest Service has legislative authority to recruit and fill Permanent (Career/Career-Conditional), Temporary, and Term Appointments under the USDA Demonstration Project.
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Implements and administers Personnel Security investigations/adjudication systems for case management. Examples of specialized experience includes planning, organizing, and directing the activities for the organizations such as, personnel, physical, information, AIS, industrial, OPSEC, and COMSEC; security classification methods, concepts, and eligibility for access to classified or sensitive information.
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