UNKNOWN

FEED

GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Providing reception and administrative support in a healthcare setting; providing customer service and assisting patients with routine requests or services; performing patient intake activities and maintaining patient information in an electronic medical record system; maintaining patient records, forms, reports, and confidential medical information; assisting patients with eligibility or available resources; performing administrative support activities related to patient services or third-party billing. GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Providing reception and administrative support in a healthcare setting; receiving visitors, answering telephone calls, and responding to routine requests for information; performing patient intake activities, and entering or updating patient information in an electronic medical record system; maintaining patient records, forms, reports, or confidential medical information.

YEAR

US Department of Health and Human Services

Medical Support Assistant

Specialized experience for GS-5: Provides clerical assistance in the reports and monitoring the cases; Provides customer services to patients and visitors, answers inquiries or addresses requests, and directs them to the appropriate personnel; Receives and directs telephone calls to appropriate parties; Works closely with staff and immediate supervisor to gather pertinent documents. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."

Medical Support Assistant (PRC)

MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Utilize nursing process in order to assess, plan, implement and evaluate health needs in providing nursing care to individuals and families including interventions designed to prevent. This education must have been accredited by the Commission on Collegiate Nursing Education(external link), Council on Accreditation of Nurse Anesthesia Educational Programs(external link), Accreditation Commission for Midwifery Education(external link), or an accrediting body recognized by the U.S. Department of Education(external link) at the time the degree was obtained.

Nurse (Community Health)

nIf this position requires proof of higher education, or you are substituting education for experience, you must submit an unofficial transcript or a list of courses that includes the following information: name of accredited institution, grades earned, completion dates, and quarter and semester hours earned. nnn n Remote jobn Non nn n Telework eligiblen Non nn n Travel Requiredn Not requiredn nn n Relocation expenses reimbursedn Non n nn n Appointment typen Temporary - NTE 90 DAYSn nn n Work schedulen Full-timen nn n Servicen Exceptedn nn.

U.S. Department of Commerce

Law Intern - Student Trainee

This position serves as a Utility Agent and coordinates major utility relocation projects; coordinates railroad involvement; administers contracts for project-related work; provides input and review of subsurface utility engineering (SUE) projects; provides customer support in Utility Permitting Administration System (UPAS) and performs a variety of other duties in support of the Department mission and ongoing Bureau operations and activities. Knowledge, Skills, and Abilities: This position requires thorough knowledge of the principles and practices of highway engineering; mathematics; utility design and construction; state and federal regulations pertaining to utility placement and relocation; right of way acquisition; project management; contract administration and claims management; and environmental issues and regulations as they apply to road construction and utility relocation projects.

Montana Government

District Utility Agent

Each Business Analyst works closely with Division program personnel and system owners to identify user business needs that must be accommodated in the Medicaid Management Information System (MMIS) modular system design. The State of Montana''s comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program.

HOUR

Business Analyst 3 (05344, 37164)

Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.

Qlarant Quality Solutions Inc

Auditor/Investigator II

FULL_TIME

OTHER

Bachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.

TriWest Healthcare Alliance

Dir, Ntwk Ops Engagement

equestftpin

Each Business Analyst works closely with Division program personnel and system owners to identify user business needs that must be accommodated in the Medicaid Management Information System (MMIS) modular system design. The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program.

State of Montana

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Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.

Senior Clinical Coding Analyst

Must be capable of dealing calmly and professionally with numerous different personalities from diverse cultures at various levels within and outside of the organization and demonstrate highest levels of customer service and discretion when dealing with the public. Develops and maintains strong client relationships while ensuring all trust and investment activities are conducted in accordance with fiduciary principles, applicable regulations, bank policies, and industry best practices.

First Federal Bank & Trust

Senior Trust Officer

ExactHire

Qualifying professional pharmacy experience may involve, but is not limited to: Dispensing medications prescribed by physicians and other health practitioners and providing information to health practitioners and patients about proper usage of medications and side effects; Evaluating medication use patterns and outcomes for patients in hospitals or managed care organizations; Performing administrative, consultative, or staff advisory work for a medical facilitys pharmacy program; Planning, monitoring and evaluating medication programs or regimens; Establishing medication-handling procedures for the storage and preservation of medications; Researching medical literature and/or clinical medication information to provide accurate responses to inquiries; and/or. Basic Requirements for the GS-12 (or equivalent) Grade Level: In addition to the requirements for the GS-11 (or equivalent) level AND your resume must demonstrate at least one (1) year of specialized experience equivalent to the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Conducts hospital authorized outpatient pharmacy clinics for examination, diagnosis and treatment of specialized patients.

Pharmacist

Persons first employed by the Federal Government as radiologic personnel after the effective date of the regulation who (a) received training from institutions in a State or foreign jurisdiction that did not accredit training in that particular field at the time of graduation, or (b) practiced in a State or foreign jurisdiction that did not license that particular field or did not allow special eligibility to take a licensure examination for those who did not graduate from an accredited educational program, provided that such persons show evidence of training, experience, and competence as determined by OPM or the employing agency. MINIMUM QUALIFICATIONS: GS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-7 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provide screening, identifies and stimulate improving breast health data by positioning patients and explaining procedures to promote breast cancer screening, maintain and use mammography.

Diagnostic Radiologic Technologist (Mammography)

GS-03: Your resume must demonstrate at least 6-months of general experience that demonstrates your ability to perform the work of the position, or a familiarity with customer service, record-keeping, and clinic maintenance duties; OR, Successfully completed (a) 1 year dental assistant program or completed 1 year of a dental hygiene program accredited by the American Dental Associations Commission on Accreditation that included a course in radiation physics; radiation biology; radiation health, safety and protection; x-ray films and radiographic film quality, radiographic techniques; darkroom and processing techniques; and film mounting; or (b) practical nurse training approved by the appropriate State or District of Columbia accrediting body; OR, A combination of experience and education. Specialized experience includes:includes providing chairside assistance, setting up proper instruments for dental procedures, recording treatments rendered, and exposing and processing digital oral x-rays; OR, Successfully completed a 2-year dental assistant program or completion of a 2-year dental hygiene program accredited by the American Dental Associations Commission on Accreditation that included at least 12 semester hours of courses such as radiation physics; radiation biology; radiation health, safety and protection; x-ray films and radiographic film quality, radiographic techniques; darkroom and processing techniques; and film mounting; OR, A combination of experience and education.

Dental Assistant

The updated operating model narrows Receiver ownership away from front sidewalk/sidelot presentation and backroom/dock/assembly recovery, which are owned by Operations leadership. Our benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members.

<p>TSC’s team members are passionate individuals dedicated to the rural lifestyle offering expertise and thousands of affordable, high-quality products to our customers. If you join us, you'll learn everything there is to know about our products and the way we do business. You'll have the chance to apply that knowledge and achieve your dreams—living life on your own terms.</p>
<p>We were founded in 1938 by Charles E. Schmidt as a mail order tractor parts business, and today we've grown into the largest operator of retail farm stores in America. We couldn't be prouder to be deeply connected to the people we serve and the land they love. As a publicly traded company with over 1,500 stores, we're growing by leaps and bounds. You'll find us in 49 states, and for those of you in the northwest and Hawaii we also own and operate Del's Feed & Farm Supply.</p>

Tractor Supply Co

TM Receiver

As a Direct Sales Leader, you'll be a representative helping businesses navigate their benefit needs, while also serving as a coach and mentor, developing new talent within your territory. Personal Sales Activities: Meeting with business owners and decision-makers, giving benefit presentations to their teams, following up on leads, and setting appointments.

True North Group LLC.

Direct Sales Leader

AcquireTM

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Providing clinical psychological services including evaluation, diagnosis, referral, psychotherapy, crisis intervention, and specialized treatment modalities for mental health problems of children, adolescents, adults and families. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.

Clinical Psychologist

Completion of the requirements for a degree that included substantial course work in accounting or auditing, e.g., 15 semester hours, but that does not fully satisfy the 24-semester-hour requirement of paragraph A, provided that (a) the applicant has successfully worked at the full-performance level in accounting, auditing, or a related field, e.g., valuation engineering or financial institution examining; (b) a panel of at least two higher level professional accountants or auditors has determined that the applicant has demonstrated a good knowledge of accounting and of related and underlying fields that equals in breadth, depth, currency, and level of advancement that which is normally associated with successful completion of the 4-year course of study described in paragraph A; and (c) except for literal nonconformance to the requirement of 24 semester hours in accounting, the applicants education, training, and experience fully meet the specified requirements. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level (GS-11) in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in managing staff reporting functions to assure that required reports are accurate, and submitted to appropriate officials by the due dates.

Accountant

GS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.

Claims Manager Jobs in Montana

Medical Support Assistant US Department of Health and Human Services

Medical Support Assistant (PRC) US Department of Health and Human Services

Nurse (Community Health) US Department of Health and Human Services

Law Intern - Student Trainee U.S. Department of Commerce

District Utility Agent Montana Government

Business Analyst 3 (05344, 37164) Montana Government

Auditor/Investigator II Qlarant Quality Solutions Inc

Dir, Ntwk Ops Engagement TriWest Healthcare Alliance

Business Analyst 3 (05344, 37164) State of Montana

District Utility Agent State of Montana

Senior Clinical Coding Analyst TriWest Healthcare Alliance

Senior Trust Officer First Federal Bank & Trust

Pharmacist US Department of Health and Human Services

Diagnostic Radiologic Technologist (Mammography) US Department of Health and Human Services

Dental Assistant US Department of Health and Human Services

TM Receiver Tractor Supply Co

Direct Sales Leader True North Group LLC.

Clinical Psychologist US Department of Health and Human Services

Accountant US Department of Health and Human Services

Contact Representative (PRC) US Department of Health and Human Services

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