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Claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry. As a Medical Claim Examiner, you will handle processing and adjudication for healthcare claims.
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Maintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise.
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Ensure that the Company conducts its business in compliance with applicable laws and regulations, including without limitation, False Claims Act, Anti-kickback, Stark, Corporate Practice of Medicine, disclosure regulations under state and federal law (as applicable), HIPAA and all other federal, state and local laws governing the business, keeping abreast of emerging legal issues that may have an impact on the Company.
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Job Title: Sr. Data Scientist Duration: Long-term Technical Skills: Data Management and Integration Proficiency in collecting, cleaning, and preprocessing clinical data from diverse sources, including health insurance claims and electronic health records (EHRs.
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Maintains the Gas Station/Car Wash area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, identifying shrink and damages, and ensuring a safe work environment.
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As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions.
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Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
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Demonstrate a good understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures. The Patient Financial Specialist Lead must demonstrate a consistently high degree of proficiency in their primary position within Patient Financial Services Department of CHRISTUS Health.
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Acts as a liaison with other departments and partners including claims, loss control, and accounting departments as well as external contacts including reinsurers, marketers, and members. Chartered Property Casualty Underwriter (CPCU), Associate in Commercial Underwriting (AU), Associate in Risk Management (ARM), Certified Insurance Counselor (CIC), and/or Certified Risk Manager (CRM) designations preferred.
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Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining and cleaning the clearance area; and. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining and cleaning the clearance area; and.
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The Dental Billing Coordinator is primarily responsible for helping patients and supporting the operations staff by submitting and appealing insurance benefits claims. Determination and persistence in submitting and appealing claims.
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DESCRIPTIONThe Business Manager Assistant Specialists will be responsible for customer creation, client financial tools, trade and reconciliation, order and claims alerts, master data submissions and necessary functions required to support the Business Manager and client in sales supporting assignments.
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Receive and process warranty claims working with the Warranty Coordinator. Information processing:o Must know how to use and interpret aviation maintenance manuals, IPC & tools catalogo Comprehension – Uses or transfers information without changing its basic formato Comprehension and Adaptation – Rearranges/calculates informationo Research – Searches for and evaluates diverse forms of informationo Synthesis – Integrates various forms of information, generally from multiple sources, and combines them into a new format.
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Responsibilities Competently represents the Employer/Carrier before the Workers’ Compensation Appeals Board at administrative hearings, conferences, trials and appeals on litigated and in pro per claims.
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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claims job in Grand Prairie, TX
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