- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner ), you will be part of Healthcare and Insurance, Office of Personnel ... and respond to general inquiries concerning FEHB Program disputed claim regulations, health insurance coverage, and Federal enrollment eligibility. Responsibilities… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner ), you will be part of Healthcare and Insurance, Office of Personnel ... and respond to general inquiries concerning FEHB Program disputed claim regulations, health insurance coverage, and Federal enrollment eligibility. Responsibilities… more
- Indian Health Service (Eagle Butte, SD)
- …summary reports, maintaining patient accounts in automated systems to include posting claim payments and adjustments, monitoring claim payment rollover to ... mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and… more
- Indian Health Service (Lower Brule, SD)
- …Accounts Section. The incumbent will report to the Health System Specialist or designee. Responsibilities Oversee accounts receivable and outstanding account ... for follow-up and collection of outstanding accounts. Post all claims /payments in accordance with the service unit policy and...testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as… more
- Molina Healthcare (NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Koniag Government Services (Alexandria, VA)
- **TGS** **Job ID 2390009** **IAC Specialist ** **Tuknik Government Services** , a **Koniag Government Services** company, has an opportunity for professionals ... to Patent law + Significant years of experience as a Primary Patent Examiner , Patent Expert or Supervisory Patent Examiner who provides working knowledge… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Environmental Enforcement Specialist Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4732385) Apply Environmental Enforcement Specialist ... and process citations (violations, notices) and testify before the Hearing Examiner , County Court, or other legal proceedings having jurisdiction. Education,… more
- Air National Guard Units (Tyndall AFB, FL)
- …National Guard position is for a THEATER AEROSPACE OPERATIONS COMMAND AND CONTROL SPECIALIST (TITLE 32), Position Description Number D1505000 and is part of the FL ... Guard. Responsibilities As a Theater Aerospace Operations Command and Control Specialist , GS-2101-11, you will administer refresher and advanced training to ANG… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. **What You Will Do** The Senior Fraud, Waste and Abuse Specialist at Sharp Health Plan is a critical role responsible for overseeing the ... with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud activities, coordinate with the Anti-Fraud… more
- Patent and Trademark Office (Alexandria, VA)
- …Specialized experience for this position includes experience as a Primary Examiner applying engineering and/or scientific concepts to the patent examining process; ... must do so within 45 days of the date of the alleged discriminatory act. Claims of employment discrimination must be submitted to the attention of the USPTO's Office… more
- Molina Healthcare (KY)
- …Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …on issues identified by the Delta specialist team associated with claims management and issues/successes related to individual examiner performance. * Assist ... the direction of the WC Manager (Includes maintenance of Specialist training workbook and team jurisdictional split). * Partner...ADA. * Ability to use Insurance Carrier/TPA data and claims management systems to analyze claim data.… more
- New York State Civil Service (Endicott, NY)
- … Specialist 2, Motor Vehicle Consumer Services Representative, Licensing Examiner 1, Taxpayer Services Representative 1, Program Aide, Payroll Examiner ... position. Duties Description * Review and process routine workers' compensation claims , including analysis and processing of payment of medical, compensation, and… more
- Johns Hopkins University (Miami, FL)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... and wellness events and initiatives + Manage workers' compensation claims + Expand clinic services and reach. + Provide...Medicine, Workers' Compensation, and DOT exams. + DOT Medical Examiner . + Certified Urine Drug Screen Collector . +… more