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Overview: Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. Allied Universal, North America's leading security services provider, is experiencing tremendous growth. For all full time positions, we offer medical, dental, vision, flex spending, 401K, an anniversary bonus, ...
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10-Jul-2018Broussard, LA(8 miles)Government Jobs
The Provider Enrollment Specialist directly impacts the financial stability of the Company by representing Schumacher Clinical Partners in the provider number approval process. The Provider Enrollment Specialist, using his/her knowledge of Schumacher Clinical Partners policies in conjunction with insurance carrier credentialing and enrollment qualifications, facilitates provider enrollment and ...
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This position supports all areas of the Reimbursement department. The purpose of this position is to own and maintain appeal projects for underpaid insurance claims, perform a retrospective review of appealed accounts, and develop a strategy around recovering the underpaid portion of the claims. Responsibilities: Review assigned accounts and EOBs to determine if an appeal is necessary. Gather a...
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This position supports all areas of the Reimbursement department and acts as a liaison to management, Managed Care, A/R, PRIV, the patient, and Insurance plans. The purpose of this position is to maintain higher level projects, conduct test appeal projects for underpaid insurance claims, perform a retrospective review of appealed accounts, and develop a strategy around recovering the underpaid ...
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This position is responsible for preparation of proposals, negotiation of contracts, and administration of commercial and governmental contracts in accordance with company policies and legal qualifications. Requires familiarity with a variety of healthcare reimbursement industry concepts, practices, and procedures. Assists in the implementation of and financial analysis of managed care contract...
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Responsibilities: Review assigned accounts and EOBs to determine if an appeal is necessary. Gather and fill out all special appeal or review forms Create appeal letters, attach the materials referenced in the letter, and mail them Coordinate and perform phone appeals with the insurance company Maintain up-to-date records on status and any communications with the plan or patient. Provides abilit...
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Job details Data and Performance Analysts serve as a consultant to the assigned Schumacher Clinical Partner Regions where they are responsible for analyzing provider performance, identifying opportunities and recommending actions to the operation teams. This will involve incentive plan solutions, evaluation, design, and implementation. This position is also responsible for the validation and an...
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