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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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Diverse Legal Portfolios: get exposure to civil law, including legal assistance (estate planning, family law, tax matters); tort claims (represent interests of the U.S. in tort issues such as Federal Tort Claims Act/Military Claims Act); labor law (arbitration and equal opportunity); and contract law (legal review of multi-billion dollar contracts of military technologies and supplies.
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The Mechanical Claims Specialist (MCS) role at Ally is perfect for those who love working with cars but are tired of the manual labor and retail hours that go along with it! Actual Job Title: Mechanical Claims Specialist (MCS.
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While maintaining strict adherence to budgetary guidelines, quality and safety standards, the Project Director must periodically inspect project sites, ensure project documents are complete and identify the elements of the project design and construction likely to give rise to disputes and claims.
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Communicates pre-authorization and disputed prior authorization approvals/denials with physicians, members, PEHP Member and Provider Services department, PEHP Clinical Management department, and the PEHP Member Claims department through mailings, inbound/outbound phone calls, and the PEHP Message Center.
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A Body Shop Estimator is responsible for appraising customer's vehicle damage to determine the cost of repair for insurance claims or customer paid repairs. Larry H Miller Automotive Group - Utah is part of Asbury Automotive Group (NYSE: ABG) is a Fortune 500 company and one of the largest franchised automotive retailers in the United States.
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This includes collision, comprehensive, property damage related to autos, rental and towing as well as fire, theft, flood, lightning, diminished value claims and any claims that involve injuries.
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The primary function of the Warranty Administrative Clerk is to assist in processing all warranty claims to Kenworth Truck, Paccar, Caterpillar, Cummins and /or any other Vendor affiliated with Kenworth Sales.
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ADARs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
$174,400 - $261,600 a yearFull-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Product Lifecycle Specialist will also liaise and coordinate with Regulatory Affairs, Post-Market Surveillance, and Research and Development teams to collect and/or review data and literature to respond to Health Authority questions or requests and to maintain and revise documentation and performance claims through the product lifecycle.
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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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Thorough knowledge of claims appraisal systems and overall claim operations, Windows proficiency, including Excel and Word. Participates in Auto Catastrophe response, including extended deployment and unscheduled travel with minimal notice.
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X), ability to read specifications for other industry standards like HL7 v3 (C-CDA), FHIR (r4), IHE ITI, or EDI X12 (Claims). Expert in Mirth, including JavaScript or other common interface engines, and able to lead efforts to administer, setup, maintain and automate interfaces.
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Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
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Responsible for monitoring emerging medical, pharmacy, and LTSS claims compared to forecast and revenue. Provides guidance to Controller for month close related to membership and claims impacts to emerging MER and trend.
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claims job in Salt Lake City, UT
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