- UC Health (Cincinnati, OH)
- …& understanding of basic coding requirements + Understanding of Basic Payer adjudication concepts & Coordination of Benefits + Ability to read and understand ... the Insurance Explanation of Benefits, including interpretation and application of the Remittance Advice or Claim Adjustment reason codes. + Ability to access and perform functions on various Payer claim portals. (Ie, Availity, Navinet, Anthem, Medicaid,… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Pay statements. KEY RESPONSIBILITIES * Process third-party billing, claim resolution, and adjudication * Manage FFS and PPS billing * Conduct census balancing and ... payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D, and Commercial Plans related to Long-Term Care * Address customer billing inquiries professionally * Enter fees and charges in Framework LTC * Prepare and… more
- City of New York (New York, NY)
- …and certified city planners to improve and streamline the processing and adjudication of code and zoning determination requests, while ensuring the promotion of ... safe, code and zoning complying construction. You will also participate in the revision of the NYC Construction Codes, the Existing Building Code, and any other code projects as assigned. Your role: Reporting to the Director of Architecture, the selected… more
- Guidehouse (Bethesda, MD)
- …and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with ... an ACTIVE PUBLIC TRUST or SUITABILITY are preferred. **What Would Be Nice To Have:** + Strong written and oral communications skills. + Excellent analytical, organizational, and time-management skills. \#LI-DNI The annual salary range for this position is… more
- National Park Service (St. Louis, MO)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... DIRECT DEPOSIT: Selectee will be required to participate in the Direct Deposit Electronics Funds Transfer Program. DRUG TESTING: You will be required to submit to a drug test and receive a negative drug test result prior to appointment. In addition, this… more
- City of New York (New York, NY)
- …of previous cases handled. - Performing in-house assignments relating to the adjudication of summonses issued by DOB. - Actively undertaking and participating in ... special projects and assignments. - Traveling occasionally between various Department offices. - Any other duties as assigned by a Supervisor. REMOTE WORK This position may be eligible for remote work up to 2 days per week, pursuant to the Remote Work Pilot… more
- City of New York (New York, NY)
- …Finance business centers, City Register's Office, and the Land Records, Adjudication , and Collections divisions. Customer Operations is charged with the processing ... of tax payments, parking violations payments, and all other charges collected by DOF. The division is also responsible for recording property transfers, adjudicating parking and camera violations, and managing the full life cycle of the department's… more
- Beth Israel Lahey Health (Charlestown, MA)
- …capture, claims generation and reconciliation, remittance posting processes, retro adjudication and router actions, this position requires an advanced-level ... knowledge of professional business office operational workflows, policies and procedures and expertise in industry standards as well as expertise in Epic software usage, build and performance enhancement. Performs analysis and audits on current Epic build and… more
- National Park Service (Estes Park, CO)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... Selectee will be required to participate in the Direct Deposit Electronics Funds Transfer Program. You will be required to submit to a drug test and receive a negative drug test result prior to appointment. In addition, this position is subject to random… more
- Three Saints Bay (Springfield, VA)
- …and NOD's. 4. Successful completion of an accredited Advanced Suitability Adjudication Course (must provide certificate of completion). 5. Demonstrated ability, ... identification, and utilization of Security Case Management Systems. 6. Experienced user of Microsoft Office suite applications. 7. Experienced user of NP2 Secure Portal (NP2), Central Verification System (CVS/PIPS), National Background Investigation Services… more