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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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Promptly investigate all outpatient denials pertaining to diagnosis and procedure coding. Your team is bigger than your department: Hackensack Meridian Pascack Valley Medical Center is a -bed, full-service, acute-care community hospital with a new emergency department, a state-of-the-art maternity center, a women's imaging center, and an ICU. We believe healthcare is a team sport and every player has something to contribute.
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The individual will investigate claims, coordinate discovery, and team with defense counsel on litigation strategy. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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The Healthcare Risk Management Coordinator Quality Management assists in the administration of the quality and risk functions, will investigate incident reports and patient care issues. The Healthcare Risk Management Coordinator also ensures proper compliance with The Joint Commission and other regulatory/accrediting organizations.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Join our team as a day shift, full-time, Medical Receptionist in Westwood, NJ. Hackensack Meridian Pascack Valley Medical Center is a 128-bed, full-service, acute-care community hospital with a new emergency department, a state-of-the-art maternity center, a women's imaging center, and an ICU.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Respond to and investigate accidents and incidents immediately when requested by management or Command Center. Investigate and respond to unsafe location/situation reports; make recommendations and/or changes to resolve the unsafe situation.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The Claims Adjuster will investigate, analyze, and settle claims in a timely and cost-effective manner to ensure customer satisfaction and compliance while abiding by the Reservation of Rights.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Possess excellent technical knowledge of HVAC systems, and good technical knowledge of other MEP building systems, with an ability to investigate and provide effective solutions to technical challenges.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Monitor warehousing operations; investigate quality complaints; participate in recall plan; conduct sanitation inspections and spot checks; monitor pest and rodent control programs, regularly. Investigate and resolve customer complaints.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Review and validate chargeback claims related to inventory issues and investigate the root causes to implement corrective actions. Accurately enter receipt information into the SAP system and investigate any discrepancies between received quantities and purchase orders.
$75,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Self-starter with ability to investigate and solve problems independently. Our client, a leading company in the Imaging Industry specializing in color instrumentation and Light Measurement is currently seeking a Senior Accountant.
$90,000 a yearExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Investigate internal theft using a variety of resources, including exception-based reporting, in partnership with District Loss Prevention Managers. Working with the District Loss Prevention Manager, you will partner with store leadership in the development and execution of Store Shrink Plans.
$29.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Forensic Accounting Detective: Uncover and investigate financial discrepancies, ensuring our operations are above board. Forensic Accounting Detective: Uncover and investigate financial discrepancies, ensuring our operations are above board.
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Under the direction of the Practice Administrator and/or Medical Receptionist Supervisor (MRS), the Referral and Precertification Specialist (RPS) will provide superior level of secretarial duties and reception services to the doctor, patients, and staff.
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Diligently investigate payment messages escalated from Regulatory Filtering Operations to US Sanctions Compliance for potential sanctions, AML, or policy violations. Past experience in AML or Sanctions Compliance and operations in a Global Financial Institution, Transaction Monitoring/Transaction Filtering, Name List Screening, etc.
$48 an hourExpandApply NowActive JobUpdated Yesterday
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