risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers... for approval. Act as Customer Service Representative to the TPA/broker. Act as a liaison between Administration, Underwriting...
edits. The SPEC, PHYS SVC EDIT ensures claims are correct by analyzing TES edits, claim form requirements and rejections... satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable...
is taken - Safety Committee representative and advisor - Develop, train, and maintain effective emergency response team... for monthly audit of the OSHA 300 log and resolution of errors with claims administrators - Work with corporate claims...
. Job Responsibilities Leadership: Act as company representative at management appeal interviews Act as company representative... relations query that may lead to disciplinary action Prepare material for employment tribunal claims. Ensure that all managers...
. Job Responsibilities Leadership: Act as company representative at management appeal interviews Act as company representative... relations query that may lead to disciplinary action Prepare material for employment tribunal claims. Ensure that all managers...
party claims management. Interviews patient for clinical, financial, and history information and arranges appropriate... demands described here are representative of those that must be met by an employee to successfully perform the essential...
interpretation and claims adjudication. This role is also responsible for supporting the Medicaid Enrollment processes with DE/PA/NJ... Access Associate), CRCR (Certified Revenue Cycle Representative) or CAC (Certified Application Counselor) preferred Minimum...
satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable... Ability to interpret a variety of state and federal regulations and determine affect on CDM and claims production Conifer...
. Investigates quality claims to root cause and develops and executes corrective actions to eliminate recurrence. Leads projects... below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals...
claim follow up. ESSENTIAL FUNCTIONS OF POSITION Responsible for reviewing and submitting clean claims to third party... payers Maintain patient billing files through electronic records system Review and assess adjudicated claims for timely...
Overview In the complex web of health care insurance and claims, you are a calm, organized problem-solver... reimbursement; removes barriers to processing claims; negotiates financial arrangements and individual contracts with third-party...
at 30700 w. 183rd, Gardner, KS 66030 This support representative provides clerical support to the Regional Distribution... freight claims and actions related to any serial number deviations. Carry out any supporting activities, including determining...
will be located at 30700 w. 183rd, Gardner, KS 66030 This support representative provides clerical support to the Regional... freight claims and actions related to any serial number deviations. Carry out any supporting activities, including determining...
reporting & terminations, benefits, unemployment benefit claims and other HR functions Ensure the use of and compliance... satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable...
duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability..., claims operations or Finance role Preferred Qualifications Knowledge, Skills and Abilities (KSAs) Proficient in Microsoft...
duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability..., claims operations or Finance role Preferred Qualifications Knowledge, Skills and Abilities (KSAs) Proficient in Microsoft...
Johnson & Johnson is recruiting for a Senior Sales Representative to be located in Puerto Rico. Fueled by innovation... and communicates opportunities and issues related to another Medical Caribbean Franchise. II. Essential Job Duties...
Unemployment Insurance (UI) Unit is responsible for minimizing costs by monitoring claims for unemployment benefits from former... a Hearing Representative to perform the following duties and responsibilities: - Represent the City of New York in confidential...
Minimum Requirements: This position can be filled at Customer Care Representative I or Customer Care Representative II... and experience which would provide an equivalent background. Customer Care Representative II - Requires a High School Diploma...
Field Sales Rep II (MSO) North America Who We Are Solera is a global leader in data and software services... We are seeking a dynamic Field Sales Representative to join our team and focus on selling our products and services to a select...