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Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or by fax at (202) 690-7442.
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Moderate Risk (5): This position requires completion & favorable adjudication of a Moderate Risk Background Investigation (Tier 2) background investigation prior to appointment, unless waiver is obtained.
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Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. , or by fax at. Support Executive Director in managing all property operations in compliance with all local, state, and federal laws (Fair Housing, Landlord Tenant Laws, OSHA, etc.
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Job hire is contingent upon applicant successfully completing and passing the adjudication and badging requirements for both Portland Public Schools and the HSPD-12 Tier-1 Security Credential. Client background screening, fingerprinting, and security adjudication is a condition for employment and is required.
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You’ll process and distribute communications and information flow such as RFQs, adjudication documents, and proposals. This Procurement Coordinator role with a premiere engineering firm could be your next move.
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Monitor changes in State and Federal laws, rules or fee schedules that impact medical bill review/re-pricing and ensure they are integrated into workflows (and Smart Advisor via Mitchell) for proper adjudication.
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The Maintenance Technician's primary role will be to support the Community Manager by ensuring site safety and completion of required property maintenance necessary to maintain excellent curb appeal and the overall appearance and quality of the properties on a scheduled basis.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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A Maintenance Lead's primary role is to manage site maintenance and other maintenance and housekeeping staff, and to support the Community Manager by ensuring site safety and completion of required property maintenance necessary to maintain excellent curb appeal and the overall appearance and quality of the property.
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Recognize the impact of policy changes to policyholder administration, commissions and claim adjudication. ELYON International provides comprehensive management consulting, information technology, geospatial and professional support services that enable our customers to meet their goals and exceed performance objectives.
Full-timeRemoteExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
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PRIMARY PURPOSE OF THE ROLE: To analyze high-level General Liability 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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Working knowledge of Employee Retirement Income Security Act of 1974, (ERISA) claims processing/ adjudication guidelines. Ability to interpret Plan Documents or Summary Plan Descriptions (SPD) for the purpose of accurate claim adjudication and/or benefit determination.
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Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment data submission. In depth Medicare and Commercial ACA risk adjustment experience required, including risk model and CMS guidelines, RAPS/EDS & EDGE data submissions, retrospective and prospective programs, and RADV audits.
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Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems. Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.
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Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus. Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus.
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adjudication job in Portland, OR
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