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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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The Best Remote Jobs: Where & How to Find Them
The Covid-19 pandemic hasn’t been easy on any of us, but if there’s one silver lining, it’s the fact that remote work has grown in popularity because of it. Companies that previously weren’t open to their employees working remotely were suddenly forced into allowing it. Since then, they've realized that much of their workforce is happier and more productive. Naturally, this has led to more remote job openings, which is great if you’re interested in this type of position. Read on to learn more about the best remote jobs and where to find them.
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When looking at in-house vs outsourcing recruiting, it is important to nail down the benefits for each and whether those benefits outweigh the risks that follow.
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First impressions can be tricky. When meeting someone in person, it’s likely you have an elevator speech. These short, practiced introductions can help you share more about who you are, what you do for work and other facts about you. While this works well in a live, in-person context, there are many cases where professionals “meet” someone via written form - like social media, a resume, or published work. In these cases, your bio works as your first impression. So, here’s a step-by-step guide on how to write a short bio.
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Learning to recruit passive candidates is a different ballgame than recruiting active ones. While an active candidate is someone who is currently looking for a new job, a passive candidate tends to be the opposite. Passive candidates are either already working or not looking to work. So, instead of these candidates coming to you, you'll have to find them and reach out to them first.
How to Effectively Recruit Employees
Today, hiring and retaining talent looks much different than it did only two or three years ago. Financial instability and the strain on our mental health brought on by the pandemic has made everyone more wary and selective of their workplace and employer. Whereas in the past people might have prioritized promotions and financial reward, today they look at other factors such as workplace flexibility, personal fulfillment and values alignment.
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Growing up you watched your parents shuffle to and from the office, held hostage to their 9 to 5. If jammed-packed schedules and deadlines sound frightening, you might consider pivoting your search to part-time jobs. In fact, even employers have shifted their preference, selecting more people open to the idea of flexible working hours.