First Coast Service Options
First Coast Service Options Jobs & Careers
All candidates must apply online at www.dsocorp.com Job Summary To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. The incumbent leads p...
Job Summary This position is responsible for the following: Research and apply voluntary refunds received from providers and beneficiaries (once deposited). Handle delinquent debt follow-up including debt referral to Treasury. Establish accounts receivable (AR) and issue demand letters. For the applicable AR's, apply cash received or initiate withholding as appropriate. Followup on communication r...
Job Summary This position is responsible for the following: Review and adjudicate higher-level claims that suspend for review without medical records. Apply guidelines to perform claims processing. Research and resolve processing problems. Assist and consult with the Nurse Reviewer and Consultants and adjudicates claims in accordance with their decisions. Support departmental objectives by trackin...
First Coast Service Options Pittsburgh, PA, 15219
JOB SUMMARY Acting in the role of an individual contributor and/or project lead on medium-size projects, this position is responsible for the following: Analyze processes to support Diversified areas by conducting impact analysis to aid in decision making. Utilize project management methodologies, as an individual contributor and/or project lead, to produce project deliverables on medium-sized pro...
3rd Shift Position 11:00pm to 7:30am Job Summary Working as the liaison between Novitas Solutions, Inc. and the subcontractor. Communicating business needs to the Subcontract Site Lead (SSL). Monitoring and coordinating all supporting activities with the SSL. This includes: training, inventory, quality, and production, time reporting, supplies and assignment of IDs and appropriate system access. S...
2nd Shift Position 3pm to 11:30pm Job Summary Working as the liaison between Novitas Solutions, Inc. and the subcontractor. Communicating business needs to the Subcontract Site Lead (SSL). Monitoring and coordinating all supporting activities with the SSL. This includes: training, inventory, quality, and production, time reporting, supplies and assignment of IDs and appropriate system access. Supe...
I. GENERAL PURPOSE: This section contains a brief overview of the main purpose(s) or functions(s) of the job, indicating what is done. This information will be used for the position posting. It may be helpful to write this section after the rest of the job description has been written and the required knowledge, skills and abilities have been "thought through." This position is responsible for res...
Job Summary § Develop new SAS programs for the purpose of extracting data from the First Coast Service Options, Inc. (First Coast) data warehouse and review SAS log and data extracts for accuracy § Write data extraction requirements. § Maintain existing SAS programs. § Communicate with database administrators on data warehouse requirements. § Mine data to detect trends, develop customer profiles,...
SUMMARY OF JOB RESPONSIBILITIES This position is responsible for the following: · Review and analyze pre and post pay complex health care claims from a medical perspective. · Make decisions concerning the validity of health care claims and levels of payment by applying standard concepts as outlined in policies, procedures, and The Centers for Medicare and Medicaid Services (CMS) and within Novitas...
SUMMARY OF JOB RESPONSIBILITIES Acting in the role of Project Lead and/or high-level individual contributor on complex projects, this position is responsible for the following: · Analyze complex processes to support Novitas Solutions, Inc. areas by making decisions by conducting impact analysis and interpreting system documentation. · Utilize Project Management Techniques as the project lead on la...
Job Duties: Work with other developers to design, develop and main the organization’s business process based web applications and portals Assist senior developers and systems administrators in creating detailed design, architecture and technical specifications for systems being developed Consult with other Developers, Business Analysts, System Analysts and vendors as needed Perform unit testing an...
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