- Catholic Health Services (Centereach, NY)
- …EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and familiar with ... insurance adjudication processes This role involves working with a broad array of complex disease states and medical conditions. Candidates should be comfortable… more
- Amentum (Huntsville, AL)
- …of less complex security assessment investigations and rendering appropriate adjudication recommendations regarding the same. + Conducts, reviews, and analyzes ... + Processing security clearance and BI documentation in preparation for adjudication . + Prepared documentation for Government agencies and customers. + Excellent… more
- Oregon State University (Corvallis, OR)
- …and protecting students' rights and responsibilities and maintaining an educational adjudication model. RDs will work collaboratively with department and campus ... thematic housing + Prior conduct experience, including but not limited to the adjudication and sanctioning of cases + Experience using data to inform decisions and… more
- AdventHealth (Maitland, FL)
- …reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG ... methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG and… more
- City of Bellingham (Bellingham, WA)
- …include water quality and water resource management (including stream adjudication ), real estate transactions involving environmentally sensitive lands, and public ... areas such as water quality, water resource management (including stream adjudication ), and real estate transactions involving environmentally sensitive areas or… more
- Advantage SCI (Reston, VA)
- …personnel for access to sensitive compartmented information, through case management, adjudication , and due process. * Review forms for accuracy and process ... and experience determining when a security case is complete and prepared for adjudication to include coordinating with other officers and determining the need for… more
- National Park Service (Fairbanks, AK)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males ... applicant's successful completion of a background security investigation and favorable adjudication . Failure to successfully meet these requirements will be grounds… more
- UCLA Health (Los Angeles, CA)
- …+ Knowledge of medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes or type 40-50 WPM ... skills + Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned health… more
- Brighton Health Plan Solutions, LLC (NC)
- …and respond to escalated issues and pertinent information on claims requiring adjudication . + Review and process High Dollar claims and conduct quality reviews ... claims processing and procedures. + 5+ years of advanced claims adjudication experience, including facility, professional, and ancillary claims. + Excellent written… more
- Hubbard Broadcasting (Minneapolis, MN)
- …consumer financial history background checks. A criminal conviction, arrest pending adjudication , or adverse financial history information that does not relate to ... consumer financial history background checks. A criminal conviction, arrest pending adjudication , or adverse financial history information that does not relate to… more