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and risks related to HIPAA compliance, anti-fraud activities, complaint... and prepare responses for HIPAA privacy and data security... administration, insurance/healthcare administration, or paralegal studies is needed. Should... Long Term Care Professional, HIPAA Professional, Health Care Anti-Fraud... Associate, Managed Care Professional...
The candidate will stay... current on all regulatory & compliance matters. Will audit Health Plan Documents and marketing materials for each plan. Will draft Summary of Benefits and Coverage and basic Summary Plan Descriptions. Will collect and track Business...
Degree (or higher) in Paralegal Studies or in a... Business - related area is preferred. Previous experience meeting monthly and annual production expectations, quality metrics, and turn - around - time expectation is needed. Understanding of subrogation principles, health insurance...
Specialty Contract Representative
The candidate will be responsible for contract administration and ensuring process adherence in support of Firm’s contracting efforts. Will responsible for supporting the solicitation, initiation and maintenance of Firm’s agreements with various business entities within their designated...
Investigator - Long Term Care
The candidate will support firm by complying with state and federal laws to meet client contractual requirements. Will work with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to...
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The candidate will be responsible for completing investigations to determine subrogation potential. Using your investigative / analytical skills will work with a variety of contacts to gather accident details. Will use this information in conjunction with state and...