- Bachelor's degree required.
- Must have average PC skills including experience with Microsoft Office suite
- Logical thought process in order to interpret and apply contract benefits as well as identify issues, recommend solutions, interpret and apply contract benefits and accurately adjust claims.
- Customer focused and service oriented to ensure timely and accurate performance and benchmark achievement.
- Ability to work with a high degree of accuracy and attention to detail to ensure work products are of high quality.
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Claims & Adjustment Specialist
2 weeks ago
Blue Cross & Blue Shield of Mississippi Flowood, United States*This position is 100% in office in Flowood, MS. It is NOT a remote or hybrid opportunity* · Job Summary: · The Claims & Adjustment Specialists processes claims for fully-insured and self-insured lines of business making logical decisions to ensure accurate application of provide ...
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Claims & Adjustment Specialist
2 weeks ago
Blue Cross & Blue Shield of Mississippi Flowood, United StatesThis position is 100% in office in Flowood, MS. It is NOT a remote or hybrid opportunityJob **The Claims & Adjustment Specialists processes claims for fully-insured and self-insured lines of business making logical decisions to ensure accurate application of provider and benefit ...
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Claims & Adjustment Specialist
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Blue Cross & Blue Shield of Mississippi Flowood, United States*This position is 100% in office in Flowood, MS. It is NOT a remote or hybrid opportunity* · Job Summary: · The Claims & Adjustment Specialists processes claims for fully-insured and self-insured lines of business making logical decisions to ensure accurate application of provi ...
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aircraft mechanic
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District Manager
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AOG Living Flowood, United StatesOur national multi-family management company seeks a District Manager with a "Whatever it Takes" attitude to oversee the overall management of the property, including but not limited to all financial and accounting aspects. · JOB SUMMARY · Responsible for overall fiscal account ...
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Respiratory Sales Specialist, Jackson, MS
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Verona Pharma Flowood, United StatesRespiratory Sales Specialist, Jackson, MS (Jackson, MS/Memphis, TN)The Company:Our mission is to improve the health and quality of life for the millions of people affected by chronic respiratory diseases. We do this principally through the development of our first-in-class molecu ...
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Travel Ultrasound
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Pharmaceutical Sales
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Eli Lilly Flowood, United StatesAt Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve th ...
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OSP Permit Specialist
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Utilities One Jackson, United StatesWe don't expect success, we work for it. Become a part of an amazing team · Jackson, MS · / · 26 February, 2024 · We are looking for Permit Specialists in the Engineering Department to manage and coordinate all aspects of the permitting process for telecommunications infrastruct ...
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Respiratory Sales Specialist, Jackson, MS
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Verona Pharma PLC Jackson, United StatesRespiratory Sales Specialist, Jackson, MS (Jackson, MS\/Memphis, TN)", "description": "Respiratory Sales Specialist, Jackson, MS (Jackson, MS\/Memphis, TN) · The Company: · Our mission is to improve the health and quality of life for the millions of people affected by chronic res ...
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Allergy Territory Account Specialist
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Novartis AG Jackson, United StatesAbout the Role · This is a field-based and remote opportunity. · Novartis is more than an organization. It is a thriving community where talented people can truly belong. Working closely and collaboratively, we achieve a collective impact that is far greater than any of us could ...
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Health Systems Specialist
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Veterans Health Administration Jackson, United States Full timeSummary · The Health System Specialist serves as the Strategy and Planning Officer for the G.V. (Sonny) Montgomery Health Care System (G. V. (Sonny) Montgomery VA Medical Center and Clinics). Formalizes the strategic planning process, formulates strategies, facilitates strategy i ...
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Jackson Health System Jackson, United States Full timePosition Summary: · Radiologic Technologist 1 is responsible for use of radiological equipment in diagnostic examinations in a clinic, emergency room or main hospital laboratory area. A related responsibility is for assisting radiologists or other medical specialists in performi ...
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Tech Providers, Inc Jackson, United StatesJob Title: Communications Support Specialist III · Location: Jackson, MI hybrid (M, T, Th required onsite & W, F remote) · Contract Duration: Until 12/20/2024 with a high likelihood of extension · Required Skills: · Strong internal and external communications skills. · Experience ...
Claims & Adjustment Specialist - Flowood, United States - Blue Cross and Blue Shield of Mississippi
1 week ago
Description
Healthy Careers Start HereAt Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
The The Claims & Adjustments Specialist is responsible for maintain inventories which focus on the accurate and timely processing of member claim as well as member and provider inquiries. The Claims & Adjustments Specialist will process fully insured group, fully insured non-group and self insured in-state and out-of-area claims for Mississippi members. The Claims & Adjustments Specialist is also responsible for handling member and provider inquiries and inter-plan communication with other BlueCross and BlueShield Plans as well as provider and member correspondence. In completing these activities, the Claims & Adjustments Specialist is responsible for ensuring performance levels meet or exceed established timeliness and accuracy benchmarks.& Adjustments Specialist is responsible for maintain inventories which focus on the accurate and timely processing of member claim as well as member and provider inquiries. The Claims & Adjustments Specialist will process fully insured group, fully insured non-group and self insured in-state and out-of-area claims for Mississippi members. The Claims & Adjustments Specialist is also responsible for handling member and provider inquiries and inter-plan communication with other BlueCross and BlueShield Plans as well as provider and member correspondence. In completing these activities, the Claims & Adjustments Specialist is responsible for ensuring performance levels meet or exceed established timeliness and accuracy benchmarks.
Job-Specific Requirements