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Job Description & Responsibilities: The Appeals Representative 4 is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partner. You will report to a Supervisor, Grievances & Appeals. As the Appeals Representative 4 you will. Managed Level 1 appeal cases, ensuring accuracy, completeness, and compliance with CMS requirements....

Job Description & Responsibilities: The Admission & Marketing Specialist is a full-time role dedicated to community outreach, lead generation, and increasing client admissions at an assigned Adult Day Health (ADH) center. This role requires relationship-building, community engagement, and educating potential clients and partners on the services offered. The specialist is responsible for ensuring a steady flow of quality leads that convert into admissions while hosting community...

Job Description & Responsibilities: This is a full-time position working under the direction of the Chief Financial Officer and Accounting Manager. Staff Accountants will perform accounting and activities for the agency according to accounting rules, regulations, policies, and procedures. Responsibilities include, but are not limited to, all accounts payable, accounts receivable, and budgeting matters relating to the accounting department. Always maintain confidentiality....

Job Description & Responsibilities: Manage and coordinate patient appointment scheduling for dental services, ensuring optimal use of provider time and resources. Communicate with patients to confirm appointments, provide necessary pre-appointment instructions, and address scheduling inquiries. Collaborate with dental staff to accommodate urgent cases, reschedule cancellations, and adjust schedules as needed. Maintain accurate and up-to-date patient records related to appointments...

Job Description & Responsibilities: Answer telephones with a heavy call volume and direct calls with accuracy. Maintain count list of items received or shipped and check against bill of lading, recording any discrepancies. Prepare all paperwork and the repackaging of all OS&D freight. Maintain accurate records to report all OS&D freight issues on a daily or weekly basis to Service Center management. Maintain a clean and organized OS&D area. Contact customers and coordinate...

Job Description & Responsibilities: RADIOLOGY PROCEDURES: Perform the radiologic and/or fluoroscopic procedure according to the department protocols. Identify the patient according to hospital policy. Ensure that the correct procedure is performed on the patient either by the patient medical record or physician orders. Explain the exam/procedure to the patient and/or family members. Set up the procedure room and/or equipment for the exam. Ensure the exam is marked anatomically...

Job Description & Responsibilities: Utilize hand/power tools, precision measurement tools, and electronic testing devices. Ensure safe operation of machinery, mechanical electrical, pneumatic, and hydraulic systems and components. Follow blueprints, schematics, operation manuals, manufacturer’s instructions, and engineering specifications. Troubleshoot sources of equipment problems through observation and use of precision measuring and testing instruments. Perform boiler...

Job Description & Responsibilities: Process, package, and ship orders accurately. Checking in and receiving of freight. Organize parts and maintain inventory. Keeping all N/S inventory bin located. Daily cycle counts. Assist in counting of physical inventory. Inspect parts for defects and damages. Prepare and Examine ingoing and outgoing shipments. Receive, unload and place incoming inventory items to designated area. Check, verify, post and fill customer invoices. Abide by all...

Job Description & Responsibilities: Apply metrology principles to calibrate precision measurement instruments, systems, and standards, including pulse generators, frequency counters, voltmeters, optical time-domain reflectometers, dimensional measurement devices, and electro optic test systems. Set up and operate calibration equipment and standards under actual or simulated conditions; use physical dimensional reference standards to ensure traceability. Establish appropriate...

Job Description & Responsibilities: What you will do in this role: Answer incoming calls in a timely and professional manner. Schedules all patients for ancillary, surgical and medical testing/procedures through the applicable scheduling module (i.e.Meditech). Select accurate insurance carrier plans and informs the patient or physician office staff of any carrier that is out of network. Inform the physician office staff or patient of any testing requirements according to the...

Job Description & Responsibilities: Support the preparation, tracking, and reporting of all SAAR and building access requests within PM CSS. Provide support with Federal Express shipping and receiving. Support printing, scanning, shredding, and faxing operations via on-call base support to PM CSS. Provide support in the preparation of an organizational command chronology and update it monthly. Pick up mail at the Marine Corps Systems Command mail room and deliver official...

Job Description & Responsibilities: Makes and answers calls in the name of the client to resolve billing and payment issues utilizing establish work queues and call pools as necessary. Responds to requests for information by patient/account holders in a professional, thorough, explainable manner. Acts to gain payment or arrangement of payment on behalf of the client as appropriate. Follows client-specific protocols and policies when carrying out duties. Investigates and responds...