- Option Care Health (Columbus, OH)
- …raw data form. Reports must be processed for meaningful interpretation by others. Adjudicate all disputes over marketing territories that may arise, from time-to-time ... amongst team.Responsible for hiring/firing/employee discipline/annual performance reviews of all staff.Distribute marketing material to all types of clients and will act as a resource regarding current market conditions and information gathered in the sales… more
- Staffing Now (Tampa, FL)
- Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that ... all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria * Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines *… more
- Bombardier (Opa Locka, FL)
- …corrective actions in SAP ensuring that work performed is adequately described to adjudicate warranty and special programs + Review and identify any labor, material, ... billings + Monitor open and yet to be billed pipeline work orders + Adjudicate warranty programs for Bombardier + Interpret, adjudicate , prepare, and invoice… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …for accurate follow-up of claims. Ability to perform complicated calculations to adjudicate accounts appropriately. Ability to analyze & adjudicate contractual ... arrangements as determined by agreements entered into by the Medical Practive Foundation. Reviews remittance codes from EOB-s & R/A-s to ensure payment or to identify denials or non-payment. Responsible for follow up with payor on the routing of claims. Refers… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …pricing files, contractual obligations, and billing practices, all to appropriately adjudicate provider and facility claims. + Use comprehensive knowledge of coding ... and in collaboration with teammates, physicians and other associates to appropriately adjudicate claims. + In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise… more
- Amentum (Fort Belvoir, VA)
- The Requirements Branch supports DTRA's process to identify, analyze, adjudicate , and document Agency-level requirements in order to provide quality information and ... This shall include support to the Agency process to identify, analyze, adjudicate , and document requirements. The Contractor shall provide support including, but not… more
- J&J Family of Companies (Horsham, PA)
- …documents through designated review and approval cycles. + Facilitate, collate, and adjudicate author and reviewer comments. + Adjudicate and address quality ... assurance review. + Verify completion of required approvals. + Lead projects review/approval in automated workflow system. + Other duties as assigned. **Qualifications** **Education:** + Bachelor's degree required. Master's degree, PhD, or PharmD preferred.… more
- Executive Office for US Attorneys and the Office of the US… (Reno, NV)
- …In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family ... In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family… more
- Sedgwick (Columbus, OH)
- …driven to deliver great work. + Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Take advantage of a variety of professional development opportunities that help you perform your best work,… more
- Sedgwick (Columbus, OH)
- …of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer… more
- Sedgwick (Columbus, OH)
- …of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer… more
- Option Care Health (Columbus, OH)
- …form. Reports must be processed for meaningful interpretation by others. + Adjudicate all disputes over marketing territories that may arise, from time-to-time ... amongst team. + Responsible for hiring/firing/employee discipline/annual performance reviews of all staff. + Distribute marketing material to all types of clients and will act as a resource regarding current market conditions and information gathered in the… more
- Randstad US (Dublin, OH)
- …and making telephone/video calls + Correspond with clients via email interactions + Adjudicate property settlements or denials up to a certain authority + Document ... notes for each open case until it is closed Skills + Brazilian Portuguese (5 years of experience is required) + Investigative Minded + Billing + Detail oriented + Math and Calculation (2 years of experience is required) + Phone Etiquette + Communication +… more
- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family ... member who is representing clients or adjudicating matters in which this Office is involved so that we can evaluate any potential conflict of interest or disqualification issue that may need to be addressed under those circumstances. Equal Employment… more
- Sedgwick (Dallas, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer… more
- Serco (VA)
- …transformation ofprogram policies and processesthat review, adjudicate , andassistconsumerin verifyinginformation to meet ... theirMarketplaceapplicationeligibilityrequirements.The candidate will also providepolicyand programadvisory servicesfor related programsthat mayimpactFederal Health InsuranceMarketplaceeligibility-such asMedicare,Medicaid,CHIP-as well… more
- Executive Office for US Attorneys and the Office of the US… (New Haven, CT)
- …In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family ... member who is representing clients or adjudicating matters in which this Office is involved so that we can evaluate any potential conflict of interest or disqualification issue that may need to be addressed under those circumstances. Diversity Statement: As… more
- Volvo Group (Greensboro, NC)
- …provide credit approvals and financing solutions to meet customer needs. You adjudicate deals from single unit up to multi-million-dollar transactions. You will help ... support VFS dealers and customers as we collectively move forward with EMobility financing solutions across the various transportation segments supported by the Volvo Group. Each day provides unique opportunities for growth and the use of your knowledge and… more
- Arkansas State University (Jonesboro, AR)
- …of an administrative student conduct program. b. Receive, evaluate, investigate, and adjudicate complaints and allegations of violations of the Code of Student ... Conduct. Serve as a formal or informal hearing officer as designated c. Maintain electronic conduct files on assigned cases, track sanctions and follow-up actions and prepare conduct reports. Places administrative holds as needed d. Oversee All University… more
- Air National Guard Units (Selfridge, MI)
- …preference of any kind. An SF-50 is NOT sufficient to adjudicate preference. For more information on Veteran's Preference, please visit: ... This National Guard position is for a TITLE 5 QUALITY ASSURANCE SPECIALIST (MI 127 ARG), Position Description Number D1818000 and is part of the MI 127 Wing, National Guard. Responsibilities THIS IS A TITLE 5 EXCEPTED NATIONAL GUARD POSITION This position is… more
