You will review, address and respond to various benefit charge notices in a timely manner. The ideal candidate will have experience completing assigned tasks and agency responses independently upon successful completion of the required training. You have the ability to meet strict agency deadlines and respond to agency and client requests are required for you to succeed in this role. You have exper Adobe Pro and Microsoft Office use, to include Excel and Word documents. You will report to the Benefit Charge Supervisor.
Assist Examiners in every aspect of claims administration. You will identify, prevent and mitigate potential penalties as well as deliver 3 point contact. Input data entry on all new claims and Provide indemnity payments and cycles. Request wage statements and wage statement calculations.
Seeking a detail-oriented and organized individual to join our team as a Data Entry Clerk. Responsible for inputting and maintaining accurate and confidential data into our database. Must have strong data entry skills, exceptional attention to detail, and the ability to work efficiently and independently.
The Credentialing Specialist supports Pair Team’s growing central operations team by owning the end-to-end credentialing and re-credentialing process for providers and facilities. This includes maintaining up-to-date records, tracking licensure and certifications, submitting applications to health plans, and supporting audits to ensure full compliance with all regulatory and contractual requirements.
This position is part of the Client Services department of Simpluris. Project Managers are the face of Simpluris operations to our clients, coordinating with various teams to ensure project deliverables are met. The Project Manager must meet critical client requirements, manage multiple competing priorities, and communicate effectively.
The Retail Intake Administrator will prepare loans for submission to Processing by uploading and reviewing documents and ordering mortgage services before assigning to the Retail Processor. This position can be located in their Paramus or Houston office, or hybrid and help with pipeline reports.
The Coordinator, Manual Claims ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement. This position is responsible for processing of pharmacy and/or direct member reimbursement (DMR) claims of all levels of complexity to execute the claims adjudication process including correction of claims.
Provide a first-class EA service and be the "right hand" to a senior executive within the leadership team, utilizing your understanding of the business to effectively prioritize, support ad-hoc projects, liaise with stakeholders, and help ensure the many goals are achieved. As a scaling company your support is needed in making sure things are running smoothly, ensuring seamless and efficient operations for the company.
We are seeking a meticulous and detail-oriented Data Entry Clerk to join our team. The ideal candidate will be responsible for inputting, verifying, and maintaining accurate records of various types of data. This position requires exceptional attention to detail, efficiency, and the ability to work independently.