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30%) Researches, analyzes, and synthesizes Medicaid medical benefit policy, complicated federal and state regulations, client information, and claims processing information for medical benefit reviews with a focus on clinical/medical coding and billing related projects.
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Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area. Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
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As an Obvious Total Loss Adjuster - Copart, you will play a pivotal role in our claims handling process, focusing on determining the repairability or total loss of vehicles. The Negotiator - In accordance with all legal and business standards methodologies, you will evaluate and negotiate claims and repair or total loss processes with customer, shops, and storage yards.
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CLAIMS ADMINISTRATOR: Nationally recognized service company seeks experienced claims administrator to join our fast growing water restoration team. We are currently searching for a full time estimator to write estimates in Xactimate and follow up with both the customer and insurance adjuster for payment of the job.
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Doctoral degree (PhD, PsyD, EdD) preferred in psychology (clinical, rehabilitation, school, educational, neuropsychology), special education or other closely related field. Doctoral degree (PhD, PsyD, EdD) preferred in psychology (clinical, rehabilitation, school, educational, neuropsychology), special education or other closely related field.
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Graduation from an accredited four-year college or university plus two years of full-time experience performing auditing or investigating work; or unemployment insurance claims examiner tasks; or gathering of information, interviewing, counseling or in the instruction, demonstration, and interpretation of policies in a public or private enterprise.
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Assist with the representation and defense of the agency’s position on employment related claims before administrative agencies, such as the Texas Workforce Commission, Equal Employment Opportunity Commission, or the US Department of Labor and other employment/labor related hearings.
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
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They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid business at Humana.
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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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Two years' experience in working with Social Security disability claims, disability claims, Medicaid, and/or other benefits. As the largest provider of behavioral health services in Travis County, we are dedicated to improving the lives of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities.
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The primary use of Dash Cams is to assist in the protection and safety of employees and property, prevention, and detection of criminal offenses such as vehicle vandalism and break-ins and staged-accident fraud, defense of legal claims, driver exoneration, and driver training and improvement.
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Job Description - Commercial Claims Adjuster Trainee (187371) Commercial Claims Adjuster Trainee. claims adjuster trainee. + Claims adjuster. Bring your passion for helping others to our team and well teach you the insurance stuff providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
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You’ll provide advice covering solvency, economic capital, risk management, mergers and acquisitions, company restructuring and risk control, financial modelling, underwriting, new legislation, and the efficiency of claims or reporting processes.
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edd claims jobs in Austin, TX
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