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Represent clients in court proceedings, including hearings, trials, and appeals. Conduct legal research and analysis to develop legal strategies and arguments. Collaborate with other attorneys and legal professionals to provide comprehensive legal services to our clients.
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You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. Perform good inventory management practices throughout the manufacturing and shipping process.
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Completes daily formulary operational processes, including tracking, processing, and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals.
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Generate and gather compelling multimedia content for various platforms such as Facebook, Instagram, and TikTok, utilizing editing tools like CapCut. Expert in native social app usage and management of platforms like Meta, TikTok, LinkedIn, Youtube, etc.
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Applying comprehensive knowledge of tax treaties between the U. S. and foreign governments to apply and resolve cases relevant to tax laws in foreign countries, economic theory, exchange rates, contract laws, immigration laws, and bank secrecy laws.
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The Program Manager is a key member of the Medicare Advantage Claims, Configuration and Appeals and Grievance Operations team. Assists in planning, developing, implementing, and managing the Medicare Advantage Claims, Appeals and Grievance program requirements, operational initiatives and policies.
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Process appeals, return mail and fax correspondence, route phone calls, resolve claim errors, and initiate bills for patient copays and deductibles. Myriad discovers and commercializes molecular diagnostic tests that: determine the risk of developing disease, accurately diagnose disease, assess the risk of disease progression, and guide treatment decisions across six major medical specialties where molecular diagnostics can significantly improve patient care and lower healthcare costs.
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At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities.
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Responds to complex questions regarding claims processing policy descriptions and interpretations, payment processes, coordination of benefits, eligibility for covered services, appeals and prior authorization/pre-notification, enrollment and premium questions.
Starting at $18.78 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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If building a business at a storied investment bank and helping investors do well while doing good appeals to you, read on! We're committed to fostering and advancing diversity and inclusion in our own workplace and beyond by ensuring every individual within our firm has a number of opportunities to grow professionally and personally, from our training and development opportunities and firmwide networks to benefits, wellness and personal finance offerings and mindfulness programs.
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Utilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
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Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS and HIPAA regulations. Supports wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement.
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Reviews and analyzes Revenue Agent (Examiner), Appeals Officer, and Counsel Attorney instructions, reports, case files, and support statements and interprets tax law court decisions and legal opinions to determine and prepare accurate computations for the most demanding and complex Appeals cases.
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Participate on cases from fruition all the way to appeals. Seeking a Litigator for commercial and employment litigation. Job : Litigation Attorney. I am a search firm representing a law firm seeking a litigator for their Houston team.
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The Social Media Specialist is responsible for crafting social media programs for one of Unitek’s institutions: Unitek College, Provo College, Eagle Gate College, Brookline College, or Unitek EMT. This position will monitor social media while informing, engaging, and building relationships with stakeholders—students, alumni, staff, and the public—to boost Unitek’s brand and social media presence.
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