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Claims processing at NTT DATA
Plano, Texas, United States - Full Time
Skills Needed
Claims Processing, Insurance Claims, Data Entry, Attention To Detail, Healthcare Insurance, Policy And Procedure, Communication, Adjudication, Medical Claim Documents, Problem Solving, Prioritization, Windows Pc Applications, Quality Standards, Client Slas, Deductible, Co Pay
Specialization
Candidates should have a university degree or equivalent, along with at least 6 months of relevant experience in claims processing and data entry. Strong communication skills and the ability to prioritize workloads are also essential.
Graduate Account Manager at Storyteller
, , - Full Time
Skills Needed
Communication Skills, Client Relationships, Proactive Attitude, Attention To Detail, Account Management, Technology, Ai, Sports Business, Microsoft Office, Airtable
Specialization
Candidates should have excellent communication skills and a strong interest in AI and the business side of sports. A proactive attitude and experience in customer communication are also important.
RN, Adult Emergency Department, New Graduates OR Experienced from non-emerg at Oregon Health & Science University
Portland, Oregon, United States - Full Time
Skills Needed
Patient Care, Emergency Nursing, Critical Care, Assessment, Intervention Planning, Team Collaboration, Patient Education, Clinical Procedures, Bls Certification, Acls Certification, Pals Certification, Communication Skills, Problem Solving, Time Management, Compassionate Care, Crisis Management
Specialization
Candidates must have an Associate or Baccalaureate Degree in Nursing and a current unencumbered Oregon RN license. New graduates are preferred to have clinical hours in inpatient and emergency settings, while experienced nurses need at least 2 years of relevant nursing experience.
EMPLOYE LIBRE-SERVICE CHARCUTERIE-TRAITEUR-FROMAGE TRADITIONNEL (H/F) at Groupement Mousquetaires
La Jarrie, Nouvelle-Aquitaine, France - Full Time
Skills Needed
Charcuterie, Traiteur, Fromage, Boulangerie, Production, Qualité, Proposition, Création, Valorisation, Dynamisme, Ponctualité
Specialization
Experience in traditional food sections such as cheese, catering, or charcuterie is appreciated. Knowledge of Intermarché management tools is recommended.
Commercial Parts Pro Store 8774 at Advance Auto Parts
Town of Oyster Bay, New York, United States - Full Time
Skills Needed
Automotive System Knowledge, Sales Skills, Customer Relationship Management, Team Leadership, Inventory Management, Parts Sourcing, Communication Skills, Problem Solving, Organizational Skills, Safety Knowledge, Pos Systems, Microsoft Word, Microsoft Excel, Ase Certification, Multi Tasking, Diagnostic Ability
Specialization
Candidates should have a minimum of 3 years of automotive parts experience and proven sales ability. A high school diploma or GED is required, and ASE certification is preferred.
Experience Required
Minimum 2 year(s)
STAGE - Juriste Droit des données personnelles F/H at METRO/MAKRO
Nanterre, Ile-de-France, France - Full Time
Skills Needed
Data Protection Law, Organization, Proactivity, Initiative, Analysis, Precise Writing, Regulatory Expertise
Specialization
A postgraduate degree in data protection law is required, along with strong organizational skills and a proactive attitude. You should also have expertise in data protection regulations and the ability to analyze and write precisely.
Leidinggevende Dierenarts- Mijdrecht, Aalsmeer,Uithoorn at IVC Evidensia Nederland
Amsterdam, North Holland, Netherlands - Full Time
Skills Needed
Veterinary Care, Leadership, Team Development, Clinical Decision Making, Operational Management, Customer Service, Compliance, Strategic Planning, Budget Management, Mentoring, Communication, Problem Solving, Organizational Skills, Quality Assurance, Performance Monitoring, Collaboration
Specialization
Candidates must be qualified veterinarians with at least 5 years of clinical experience and proven leadership skills. A strong clinical knowledge base and the ability to motivate teams are essential.
Experience Required
Minimum 5 year(s)
Leidinggevende Dierenarts Amstelveen Amsterdam at IVC Evidensia Nederland
Amstelveen, North Holland, Netherlands - Full Time
Skills Needed
Veterinary Care, Leadership, Team Development, Clinical Protocols, Mentoring, Operational Management, Customer Service, Compliance, Strategic Planning, Budget Management, Communication, Problem Solving, Organizational Skills, Quality Assurance, Performance Monitoring, Collaboration
Specialization
Candidates must be qualified veterinarians with at least 5 years of clinical experience and proven leadership skills. A strong understanding of veterinary practices and the ability to motivate teams are essential.
Experience Required
Minimum 5 year(s)
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
Phoenix, Arizona, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Veterans Services, Travel, Scheduling, Emr Documentation, Independent Contractor
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the ability to work as an independent contractor.
Conseiller Free - Ivry-sur-Seine - H/F at Iliad - Free
Ivry-sur-Seine, Ile-de-France, France - Full Time
Skills Needed
Customer Service, Telecommunications, Technical Support, Communication, Problem Solving, Teamwork, Scheduling, Administrative Support
Specialization
Candidates should have a passion for telecommunications and a strong sense of service. No specific educational requirements are mentioned, making it suitable for beginners.
General Manager(07024) - 3840 Pacific Avenue East, Suite C 101 at Domino's Pizza LLC
Tacoma, Washington, United States - Full Time
Skills Needed
Communication, Inventory Management, Customer Service, Teamwork, Time Management, Problem Solving, Attention To Detail, Basic Math Skills, Motor Coordination, Order Processing, Equipment Operation, Food Preparation, Cleaning, Driving, Navigational Skills
Specialization
Candidates should have strong communication skills and the ability to perform basic math. Physical demands include standing for long periods, lifting heavy items, and navigating various work conditions.
Commercial Parts Pro Store 9201 at Advance Auto Parts
Dunnellon, Florida, United States - Full Time
Skills Needed
Automotive System Knowledge, Sales Skills, Customer Relationship Management, Team Leadership, Inventory Management, Parts Sourcing, Communication Skills, Problem Solving, Organizational Skills, Safety Knowledge, Pos Systems, Microsoft Office, Multi Tasking, Diagnostic Ability, Parts Lookup Systems, Ase Certification
Specialization
Candidates should have a minimum of 3 years of automotive parts experience and proven sales ability. A high school diploma or GED is required, and ASE certification is preferred.
Experience Required
Minimum 2 year(s)
General Manager(06654) - Competitive Salary - 3148 Fm 528 Rd at Domino's Pizza LLC
Webster, Texas, United States - Full Time
Skills Needed
General Manager Experience, Operations Procedures, Cost Management, Recruiting, Retaining Employees, Developing Employees, Team Leadership, Food Safety Protocols, Customer Service, Technology Operation, Troubleshooting, Valid Driver's License
Specialization
Candidates must have a minimum of one year of General Manager experience in a fast-paced service environment. They should demonstrate basic operations procedures, cost management capabilities, and possess excellent customer service skills.
Experience Required
Minimum 2 year(s)
RN, Adult Emergency Department, New Graduates OR Experienced from non-emerg at Oregon Health & Science University
Portland, Oregon, United States - Full Time
Skills Needed
Patient Care, Emergency Nursing, Critical Care, Assessment, Intervention Planning, Team Collaboration, Patient Education, Clinical Procedures, Bls Certification, Acls Certification, Pals Certification, Communication Skills, Time Management, Problem Solving, Compassionate Care, Crisis Management
Specialization
Candidates must have an Associate or Baccalaureate Degree in Nursing and a current unencumbered Oregon RN license. New graduates are preferred to have clinical hours in an inpatient and emergency department setting, while experienced nurses need two years of relevant nursing experience.
EMPLOYE LIBRE-SERVICE CHARCUTERIE-TRAITEUR-FROMAGE TRADITIONNEL (H/F) at Groupement Mousquetaires
La Jarrie, Nouvelle-Aquitaine, France - Full Time
Skills Needed
Charcuterie, Traiteur, Fromage, Boulangerie, Production, Qualité, Proposition, Création, Valorisation, Dynamisme, Ponctualité
Specialization
Experience in traditional food sections such as cheese, catering, or charcuterie is appreciated. Knowledge of Intermarché management tools is recommended.
General Manager 10 Church Street Elko New Market at Domino's Pizza LLC
Elko New Market, Minnesota, United States - Full Time
Skills Needed
Leadership, Analytical Skills, Problem Solving, Financial Management, Communication, Interpersonal Skills, Organizational Skills, Time Management, Team Management, Customer Service, Inventory Management, Budgeting, Strategic Planning, Quality Control, Decision Making, Business Acumen
Specialization
Candidates should have proven experience in a leadership role and strong business acumen. A bachelor's degree in a related field is preferred, along with excellent communication and organizational skills.
Experience Required
Minimum 5 year(s)
Conseiller Free - Marne-La-Vallée - H/F at Iliad - Free
Chessy, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Telecommunications, Technical Support, Communication, Problem Solving, Scheduling, Administrative Support, Teamwork
Specialization
Candidates should be passionate about telecommunications and have a strong sense of service. No specific educational requirements are mentioned.
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
Nashville, Tennessee, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Travel, Veterans Services, Emr Documentation, Independent Contractor, Flexible Schedule
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the opportunity to work as an independent contractor.
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
San Antonio, Texas, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Travel, Independent Contractor, Flexible Schedule, Emr Documentation
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the ability to work part-time as an independent contractor.
Prekių surinkėjas (-a) - pickeris, Sodų g. 22-1, Vilnius at IKI
Vilnius, Vilnius County, Lithuania - Full Time
Skills Needed
Attention To Detail, Customer Service, Order Picking, Communication, Time Management
Specialization
Experience as a picker is a significant advantage, but training will be provided for those without experience. Candidates must be at least 20 years old and possess a fast and attentive work ethic.
Claims processing at NTT DATA
Plano, Texas, United States -
Full Time

Start Date

Immediate

Expiry Date

09 Mar, 26

Salary

0.0

Posted On

09 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Processing, Insurance Claims, Data Entry, Attention to Detail, Healthcare Insurance, Policy and Procedure, Communication, Adjudication, Medical Claim Documents, Problem Solving, Prioritization, Windows PC Applications, Quality Standards, Client SLAs, Deductible, Co-Pay

Industry

IT Services and IT Consulting

Description
In these roles you will be responsible for: Review and process insurance claims. Validate Member, Provider and other Claim's information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines University degree or equivalent that required formal studies of the English language and basic Math 6+ months of experience where you had to apply business rules to varying fact situations and make appropriate decisions 6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product. 6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 6+ months of experience that required prioritizing your workload to meet deadlines Ability to communicate (oral/written) effectively to exchange information with our client. Commerce graduate with English as a compulsory subject Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am IST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement. 1-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
Responsibilities
The role involves reviewing and processing insurance claims, validating information, and determining payment criteria based on policies. Additionally, it requires maintaining productivity goals and resolving complex situations according to established guidelines.
Claims processing at NTT DATA
Plano, Texas, United States - Full Time
Skills Needed
Claims Processing, Insurance Claims, Data Entry, Attention To Detail, Healthcare Insurance, Policy And Procedure, Communication, Adjudication, Medical Claim Documents, Problem Solving, Prioritization, Windows Pc Applications, Quality Standards, Client Slas, Deductible, Co Pay
Specialization
Candidates should have a university degree or equivalent, along with at least 6 months of relevant experience in claims processing and data entry. Strong communication skills and the ability to prioritize workloads are also essential.
Graduate Account Manager at Storyteller
, , - Full Time
Skills Needed
Communication Skills, Client Relationships, Proactive Attitude, Attention To Detail, Account Management, Technology, Ai, Sports Business, Microsoft Office, Airtable
Specialization
Candidates should have excellent communication skills and a strong interest in AI and the business side of sports. A proactive attitude and experience in customer communication are also important.
RN, Adult Emergency Department, New Graduates OR Experienced from non-emerg at Oregon Health & Science University
Portland, Oregon, United States - Full Time
Skills Needed
Patient Care, Emergency Nursing, Critical Care, Assessment, Intervention Planning, Team Collaboration, Patient Education, Clinical Procedures, Bls Certification, Acls Certification, Pals Certification, Communication Skills, Problem Solving, Time Management, Compassionate Care, Crisis Management
Specialization
Candidates must have an Associate or Baccalaureate Degree in Nursing and a current unencumbered Oregon RN license. New graduates are preferred to have clinical hours in inpatient and emergency settings, while experienced nurses need at least 2 years of relevant nursing experience.
EMPLOYE LIBRE-SERVICE CHARCUTERIE-TRAITEUR-FROMAGE TRADITIONNEL (H/F) at Groupement Mousquetaires
La Jarrie, Nouvelle-Aquitaine, France - Full Time
Skills Needed
Charcuterie, Traiteur, Fromage, Boulangerie, Production, Qualité, Proposition, Création, Valorisation, Dynamisme, Ponctualité
Specialization
Experience in traditional food sections such as cheese, catering, or charcuterie is appreciated. Knowledge of Intermarché management tools is recommended.
Commercial Parts Pro Store 8774 at Advance Auto Parts
Town of Oyster Bay, New York, United States - Full Time
Skills Needed
Automotive System Knowledge, Sales Skills, Customer Relationship Management, Team Leadership, Inventory Management, Parts Sourcing, Communication Skills, Problem Solving, Organizational Skills, Safety Knowledge, Pos Systems, Microsoft Word, Microsoft Excel, Ase Certification, Multi Tasking, Diagnostic Ability
Specialization
Candidates should have a minimum of 3 years of automotive parts experience and proven sales ability. A high school diploma or GED is required, and ASE certification is preferred.
Experience Required
Minimum 2 year(s)
STAGE - Juriste Droit des données personnelles F/H at METRO/MAKRO
Nanterre, Ile-de-France, France - Full Time
Skills Needed
Data Protection Law, Organization, Proactivity, Initiative, Analysis, Precise Writing, Regulatory Expertise
Specialization
A postgraduate degree in data protection law is required, along with strong organizational skills and a proactive attitude. You should also have expertise in data protection regulations and the ability to analyze and write precisely.
Leidinggevende Dierenarts- Mijdrecht, Aalsmeer,Uithoorn at IVC Evidensia Nederland
Amsterdam, North Holland, Netherlands - Full Time
Skills Needed
Veterinary Care, Leadership, Team Development, Clinical Decision Making, Operational Management, Customer Service, Compliance, Strategic Planning, Budget Management, Mentoring, Communication, Problem Solving, Organizational Skills, Quality Assurance, Performance Monitoring, Collaboration
Specialization
Candidates must be qualified veterinarians with at least 5 years of clinical experience and proven leadership skills. A strong clinical knowledge base and the ability to motivate teams are essential.
Experience Required
Minimum 5 year(s)
Leidinggevende Dierenarts Amstelveen Amsterdam at IVC Evidensia Nederland
Amstelveen, North Holland, Netherlands - Full Time
Skills Needed
Veterinary Care, Leadership, Team Development, Clinical Protocols, Mentoring, Operational Management, Customer Service, Compliance, Strategic Planning, Budget Management, Communication, Problem Solving, Organizational Skills, Quality Assurance, Performance Monitoring, Collaboration
Specialization
Candidates must be qualified veterinarians with at least 5 years of clinical experience and proven leadership skills. A strong understanding of veterinary practices and the ability to motivate teams are essential.
Experience Required
Minimum 5 year(s)
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
Phoenix, Arizona, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Veterans Services, Travel, Scheduling, Emr Documentation, Independent Contractor
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the ability to work as an independent contractor.
Conseiller Free - Ivry-sur-Seine - H/F at Iliad - Free
Ivry-sur-Seine, Ile-de-France, France - Full Time
Skills Needed
Customer Service, Telecommunications, Technical Support, Communication, Problem Solving, Teamwork, Scheduling, Administrative Support
Specialization
Candidates should have a passion for telecommunications and a strong sense of service. No specific educational requirements are mentioned, making it suitable for beginners.
General Manager(07024) - 3840 Pacific Avenue East, Suite C 101 at Domino's Pizza LLC
Tacoma, Washington, United States - Full Time
Skills Needed
Communication, Inventory Management, Customer Service, Teamwork, Time Management, Problem Solving, Attention To Detail, Basic Math Skills, Motor Coordination, Order Processing, Equipment Operation, Food Preparation, Cleaning, Driving, Navigational Skills
Specialization
Candidates should have strong communication skills and the ability to perform basic math. Physical demands include standing for long periods, lifting heavy items, and navigating various work conditions.
Commercial Parts Pro Store 9201 at Advance Auto Parts
Dunnellon, Florida, United States - Full Time
Skills Needed
Automotive System Knowledge, Sales Skills, Customer Relationship Management, Team Leadership, Inventory Management, Parts Sourcing, Communication Skills, Problem Solving, Organizational Skills, Safety Knowledge, Pos Systems, Microsoft Office, Multi Tasking, Diagnostic Ability, Parts Lookup Systems, Ase Certification
Specialization
Candidates should have a minimum of 3 years of automotive parts experience and proven sales ability. A high school diploma or GED is required, and ASE certification is preferred.
Experience Required
Minimum 2 year(s)
General Manager(06654) - Competitive Salary - 3148 Fm 528 Rd at Domino's Pizza LLC
Webster, Texas, United States - Full Time
Skills Needed
General Manager Experience, Operations Procedures, Cost Management, Recruiting, Retaining Employees, Developing Employees, Team Leadership, Food Safety Protocols, Customer Service, Technology Operation, Troubleshooting, Valid Driver's License
Specialization
Candidates must have a minimum of one year of General Manager experience in a fast-paced service environment. They should demonstrate basic operations procedures, cost management capabilities, and possess excellent customer service skills.
Experience Required
Minimum 2 year(s)
RN, Adult Emergency Department, New Graduates OR Experienced from non-emerg at Oregon Health & Science University
Portland, Oregon, United States - Full Time
Skills Needed
Patient Care, Emergency Nursing, Critical Care, Assessment, Intervention Planning, Team Collaboration, Patient Education, Clinical Procedures, Bls Certification, Acls Certification, Pals Certification, Communication Skills, Time Management, Problem Solving, Compassionate Care, Crisis Management
Specialization
Candidates must have an Associate or Baccalaureate Degree in Nursing and a current unencumbered Oregon RN license. New graduates are preferred to have clinical hours in an inpatient and emergency department setting, while experienced nurses need two years of relevant nursing experience.
EMPLOYE LIBRE-SERVICE CHARCUTERIE-TRAITEUR-FROMAGE TRADITIONNEL (H/F) at Groupement Mousquetaires
La Jarrie, Nouvelle-Aquitaine, France - Full Time
Skills Needed
Charcuterie, Traiteur, Fromage, Boulangerie, Production, Qualité, Proposition, Création, Valorisation, Dynamisme, Ponctualité
Specialization
Experience in traditional food sections such as cheese, catering, or charcuterie is appreciated. Knowledge of Intermarché management tools is recommended.
General Manager 10 Church Street Elko New Market at Domino's Pizza LLC
Elko New Market, Minnesota, United States - Full Time
Skills Needed
Leadership, Analytical Skills, Problem Solving, Financial Management, Communication, Interpersonal Skills, Organizational Skills, Time Management, Team Management, Customer Service, Inventory Management, Budgeting, Strategic Planning, Quality Control, Decision Making, Business Acumen
Specialization
Candidates should have proven experience in a leadership role and strong business acumen. A bachelor's degree in a related field is preferred, along with excellent communication and organizational skills.
Experience Required
Minimum 5 year(s)
Conseiller Free - Marne-La-Vallée - H/F at Iliad - Free
Chessy, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Telecommunications, Technical Support, Communication, Problem Solving, Scheduling, Administrative Support, Teamwork
Specialization
Candidates should be passionate about telecommunications and have a strong sense of service. No specific educational requirements are mentioned.
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
Nashville, Tennessee, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Travel, Veterans Services, Emr Documentation, Independent Contractor, Flexible Schedule
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the opportunity to work as an independent contractor.
Audiologist - WarriorVets Medical Services, PLLC - 100% Travel at Warrior Vets Medical Services PLLC
San Antonio, Texas, United States - Full Time
Skills Needed
Audiology, Medical Evaluations, Patient Care, Travel, Independent Contractor, Flexible Schedule, Emr Documentation
Specialization
Candidates must have unrestricted state audiology licensure and education from a US accredited post baccalaureate program. The position offers flexibility in scheduling and the ability to work part-time as an independent contractor.
Prekių surinkėjas (-a) - pickeris, Sodų g. 22-1, Vilnius at IKI
Vilnius, Vilnius County, Lithuania - Full Time
Skills Needed
Attention To Detail, Customer Service, Order Picking, Communication, Time Management
Specialization
Experience as a picker is a significant advantage, but training will be provided for those without experience. Candidates must be at least 20 years old and possess a fast and attentive work ethic.