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The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.
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Ability to assist with technical training to team claim handlers as requiredWell developed and advanced expertise and knowledge in most technically complex claims topicsPolicy language skills enabling accurate and consistent policy wording interpretationExperience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
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Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
$81,000 - $133,700Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Business Analyst/Scrum Master with experience in Azure DO, Jira, Confluence, and claims experience, you are looking for a professional with a specific set of skills and knowledge. Knowledge of underwriting, claims processing, policy administration, and regulatory compliance.
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4 years experience with Guidewire Cloud Claims migration. 4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution.
$127,950 - $208,250 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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ESIS is seeking an experienced workers' compensation claims representative for the Glen Allen, VA office. ESIS Workers Compensation Claims Representative. Qualified candidates must possess experience in managing workers' compensation claims investigation/ adjusting, including knowledge of applicable state/local legislation.
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Assists in keeping the environment safe for associates to reduce the occurrence of Workers’ Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated.
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BC forward is currently seeking a highly motivated IT Security Specialist for an opportunity in Jacksonville, FL / Chandler, AZ / Richmond, VA! Position Title: IT Security Specialist. BC forward is currently seeking a highly motivated IT Security Specialist for an opportunity in Jacksonville, FL / Chandler, AZ / Richmond, VA.
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The specialist position will have assigned areas of focus so that review practices and measures are implemented for each service division: Developmental Services, Educational Services, Treatment Foster Care and Adoption and Immigration and Refugee Services.
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Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims.
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Catholic Mutual Group has an excellent opportunity for a Claims/Risk Manager (CRM) for our service office in Richmond, Virginia. The successful candidate will receive and adjust property/casualty claims by performing investigations/site inspections, evaluating liability, verifying coverages, and negotiating fair and equitable settlements.
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Arcadis is seeking a GIS Specialist candidate to provide analytical and consulting support for US State Departments of Transportation. In this role, you will work on projects focusing on cartography and mapping, data management and maintenance, and design and implementation of enterprise Geographic Information Systems (GIS) using Esri based software to support Esri Roads and Highways, ArcGIS Enterprise platforms, Business Systems Integration, and visualization tools and platforms.
$55,080 - $91,800 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensure Proof of Claims, Motions for Relief, Payment Change Notices, Post Petition Fees and Costs are prepared by counsel, are accurate and all aspects of the bankruptcy are handled according to investor guidelines and timeframes.
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Active and current Peer Recovery Specialist or Peer Support Specialist certification in the state of Virginia OR ability to obtain certification within 12 months of employment. The Peer Support Specialist is instrumental in assisting in reducing higher levels of services such as ER admissions or Inpatient psychiatric admissions.
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As an REI Specialist within our academic environment, you will assume a crucial role in providing specialized care for cases involving reproductive, endocrinology, and infertility concerns. With a pivotal role awaiting the right candidate, we are actively seeking a dedicated and seasoned specialist to join our thriving Reproductive Endocrinology and Infertility (REI) Division.
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claims job Title: claim specialist in Mechanicsville, VA
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