- UpvoteDownvoteShare Job
- Suggest Revision
PRIMARY PURPOSE OF THE ROLE: To analyze high-level Auto & General Liability / Bodily Injury 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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Evaluate solution options, Conduct impact analysis across the program (intake, adjudication, payments, correspondence, reporting, integration, portal etc) and communicate with various stakeholders (both scrum teams as well as business operation team and leadership ) regarding the actions they need to take and ensure operational readiness.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We offer our clients competitively priced reinsurance solutions, additional capacity when needed most, expert underwriting services, insightful research and development, state-of-the-art individual cession administration and skilled claims adjudication know-how.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
SYNON, AS/400, RPGILE, CLLE, SQLRPGLE, RxClaim Adjudication, US Healthcare. Job title: Product Consultant – Guidewire. Cognizant requires a native AS/400 Technical Lead to huddle up with our team and contribute from concept design to deployment as well as post implementation.
$96,300 - $118,300 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This role requires experience with eligibility and claims adjudication for multiple states' Medicaid, Managed Medicaid, and commercial plans. The Role: Insurance Accounts Receivable Specialist Location: Remote About this role:The insurance AR Specialist will support the AR Manager in various functions of the Hazel Revenue Operations team, concentrating on specific regions and payors supporting the revenue cycle team by reconciling accounts, following up on rejected/outstanding claims, and collaborating with third-party partners on data and clarification requests.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Prepares and files claims and appeals with supporting evidence for successful adjudication. Applies and interprets VA laws, including veterans' case law, existing statutes and procedures, precedent rulings, and state law in the adjudication process.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
3 years of claims adjudication experience with LTD disability claims. 3 years of claims adjudication experience with LTD disability claims. Obtain and analyze information in order to make claim decisions and payments on disability claims.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Posting of charges, payments, adjustments and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication. Posting of charges, payments, adjustments and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication.
$21 - $23 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Associate should have 2+ years of experience with Claims Adjudication. Medicare inpatient hospital claims, outpatient hospital, ancillary and professional claims. Knowledge in EZ Cap, Optum Webstrat & Burgess pricing application is preferrable.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
5+ years medical billing, claims adjudication and collection experience. Manage offshore teams to effectively work all tasks allocated to them and resolve any issues affecting reimbursement and/or adjudication.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Understanding of Revenue Cycle Management processes like Claims filing and adjudication is a plus. Knowledge in Deep Learning/Machine learning, Artificial Intelligence. At least 0-2 years of hands-on programming experience working on enterprise products Demonstrated proficiency in multiple programming languages with a strong foundation in a statistical platform such as Python.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
By combining automation and expert intervention, the company provides prior authorization, prescription decision support, specialty patient support, core adjudication network, patient assistance programs, clinical and behavioral adherence and patient empowerment solutions.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Claims Trainer will assist with establishment of initiatives to structure and standardize claims processing, claims auto adjudication and monitor claim inventory. Primary Claims End User Tester lead for Claims Operations in the development, testing and implementation of new and/or revised system enhancements to ensure effective and efficient claims processing by translating Claims Operation business requirements, user stories to test cases, developing testing scripts by performing manual testing for Benefit Configuration, Facility Contracts (new/revised) by conducting positive and negative testing.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
It encourages lively discussions, inspires thought leadership, and helps us build better solutions for our clients. Clarify requirements with Business Analyst / CVS Technical Lead. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses.
ExpandApply NowActive JobUpdated 2 days ago
adjudication job in Dallas, TX
FEATURED BLOG POSTS
Why is Networking Important & How to Network Effectively
Even if you’ve worked hard to earn a degree from an impressive school, landing your dream job might still come down to who you know – otherwise known as networking. Lots of qualified candidates might apply for a job, but the person who gets it might very well be so-and-so’s sibling, friend, or kid. Sometimes the only way to get your foot in the door is to know someone.
Why Do Recruiters Ghost and What Can You Do About It?
Once you’ve finally mustered up the courage to find another job, leaning into the job hunt can feel scary and overwhelming. So, it does nothing to help your confidence when your outbox is full of unanswered follow-ups and interview requests. You thought that ghosting only happens on dating apps—so why do recruiters ghost, too? Recruiter ghosting is not an effective recruiting strategy, but sometimes it’s inevitable. How can you overcome such an unfortunate new career trend? Read on.
Internal Hiring Best Practices
Each companies hiring strategy is based on a set of rules that defines the ideal candidate. Many companies utilize internal and external hiring to ensure they have skilled, experienced workers. If you work in recruiting, maximizing your internal hiring strategies could be the key to retaining employees and simplifying your hiring process.
Why is it so Hard to Get a Job After College
For many, it was easy finding a job while in college. But after job hunting for weeks, you may wonder why it is so hard to get a job after college. After all, you’ve put a lot of time and effort into getting your degree. But don’t get discouraged. The University of Washington found that 53% of graduates are either unemployed or working a job that doesn’t require a degree. Other studies also show that landing your first job can take between 3 and 6 months. So, getting your first job takes time.
Why Leadership Is So Important in Your Career
There are plenty of baseball players worldwide, but only a select few will master the sport enough to play in the World Series. Similarly, you’ll meet hundreds of “managers” throughout your professional career. Still, only a few will cement themselves as true leaders in your mind. This is why leadership is important—the most influential leaders leave a mark. They inspire.
Making the Move to Salary Transparency
The salary transparency trend continues. Last year, Colorado passed its Equal Pay Transparency Rules, which required employers to include compensation in job postings, notify employees about promotional opportunities, and record job descriptions and wage records. Soon after, states like Washington, Nevada, Maryland, and Rhode Island followed suit.
Brand Reputation 101
People's initial perception of your organization is also known as your brand reputation. Your brand rep either encourages or discourages people from engaging with your company. This means the way people view your company will affect sales and even recruiting efforts.