- Veterans Sourcing Group (Woonsocket, RI)
- …party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive ... REQUIREMENT DETAILS Job Title: Pharmacy Insurance Specialist Location: Woonsocket , RI- Onsite - 3...working with insurance help desk As a Pharmacy Insurance Specialist , you will be responsible for ensuring that all… more
- Rehlko, LLC (Glendale, CA)
- …the supervision of the Manager of Technical Services, the Warranty Specialist provides leadership in warranty administration which includes processing claims, system ... maintenance, policy review, recovery and procedure updates. The Warranty Specialist will work with Residential & Power Systems component suppliers to ensure that… more
- VetJobs (Arlington, VA)
- …RiverTech has a great team of Personnel Security Specialists to provide adjudication support for Federal Adjudicators to make suitability and national security ... associated with a candidate to make suitability, eligibility and adjudication recommendations or determinations. Makes recommendations in accordance with regulations… more
- Movn Health (Los Angeles, CA)
- …Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This ... A/R management Deep knowledge of payer reimbursement methodologies and claims adjudication Proficiency with multiple EHRs Strong command of medical coding (ICD-10,… more
- Raytheon Technologies (Tewksbury, MA)
- …Strategic Business Unit (SBU) has an exciting opportunity for a Principal Specialist , Contracts within the Global Patriot program area. This candidate will play ... in support of program and financial objectives. Additionally, the Principal Specialist , Contracts is required to work closely with Program Management leadership,… more
- California State University (San Diego, CA)
- Customer Service and Safe Ride Program Analyst (Administrative Analyst/ Specialist Exempt I) Job no: 548857 Work type: Staff Location: San Diego Categories: Unit 9 - ... University's dynamic team as a Customer Service and Safe Ride Analyst (Administrative Analyst/ Specialist Exempt I) , where you'll play a key role in delivering safe,… more
- Mt. Washington Pediatric Hospital (Baltimore, MD)
- Description JOB SUMMARY The Patient Accounts Specialist II prepares and/or follows-up all third party and patient bills as organized and directed by the Patient ... carrier policy for referral and authorization requirements as needed for claim adjudication *Submit carrier appeals and reconsideration request in a timely manner… more
- NEXCOMHQ (Virginia Beach, VA)
- …Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement, award, ... convenience if required. Manages contractor requests for equitable adjustments and adjudication of contractor claims. Develops documents for legal review as… more
- Raytheon Technologies (Andover, MA)
- …more secure world. Raytheon has an opportunity for a Production Control Scheduling Specialist in the Andover, Ma, Cables work center. The successful candidate has a ... products. Clearance Information: This position requires a security clearance. DCSA Consolidated Adjudication Services (DCSA CAS) , an agency of the Department of… more
- Guardian Pharmacy, LLC (Marietta, GA)
- …requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, ... eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and… more
- EnableComp (Franklin, TN)
- …cycle front to back. Understanding of provider and payer claim adjudication processes. Experience with health insurance denials and underpayments Experience with ... enable qualified individuals with disabilities to perform the essential functions. Specialist Considerations & Prerequisites Execute training in various settings for… more
- University of Arkansas (Fayetteville, GA)
- …title) Recruitment Contact Information: Crystal Ellis, Strategic Talent Acquisition Specialist , ###@uark.edu All application materials must be uploaded to the ... identified in the position listing. A criminal conviction or arrest pending adjudication or adverse financial history information alone shall not disqualify an… more
- Mass Markets (Killeen, TX)
- …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- CVS Health (Montpelier, VT)
- …**Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- Alluvionic (Washington, DC)
- …by federal personnel security specialist . + Assist federal personnel security specialist in the adjudication of background investigations for suitability and ... of Justice! Job Summary: Alluvionic is seeking a Lead Personnel Security Specialist to join the Executive Office for United States Attorneys (EOUSA) Security… more
- Capital One (Richmond, VA)
- Manager- Criminal Background Screening Adjudication & I9 Team As the Manager of our I9 logistics and criminal background screening adjudication teams, you will ... + Lead process team's execution and adherence for background screening adjudication across the enterprise for all associates and contractors + Collaborate… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of new client data or changes to existing clients into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's ... order to effectively input, audit and adjust within the adjudication platform. **Job Summary:** Perform day-to-day operations supporting ProAct's...act as a lead role within the Benefit Operations Specialist team and be a liaison to management and… more
- AON (Garden City, NY)
- …looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience ... to independently make decisions utilizing certificate of insurance and adjudication procedures. + Ability to work in a virtual...Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- Disability Determinations Specialist (Trainer) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5000702) Apply Disability Determinations ... current and detailed knowledge of all policies and procedures involved in the adjudication of claims for disability benefits filed under Title II and Title XVI… more
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