div class="content"> p style="background-color:rgb( 255 , 255 , 255 );color:rgb( 43 , 51 , 58 );font-family:'opensans' , 'helvetica' , 'arial' , sans-serif;font-size:14px;font-style:normal;font-weight:400;letter-spacing:normal;margin:0px 0px 10px;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px">The Boys & Girls Club of the Northern Plains provides reasonable accommodations to applicants and employees in compliance with local, state, and federal laws and regulations. The information presented indicates the general nature and level of work expected of employees in this classification. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office by providing a copy of your applicable SF-50, along with a statement that provides the following information regarding your most recent political appointment: Position title; Type of appointment (Schedule A, Schedule C, Non-career SES, or Presidential Appointee); Agency; and. Special Employment Consideration - Persons with disabilities, veterans with a compensable service-connected disability of 30% or more, certain other veterans, spouses of certain members of the armed forces, and returning Peace Corps volunteers are examples of individuals who are potentially eligible for non-competitive appointments. This role ensures accurate enrollments, compliance with applicable laws, and clear communication to support a positive employee experience within a manufacturing environment. May be exposed to varying temperatures, moderate noise levels, dust, moving machinery, and forklift traffic while on the production floor. Serves as primary intake person for incoming requests for multiple sites and appropriately screens incoming referrals and responds in priority levels as set forth by the Access Services Manager. Achieves and maintains a thorough knowledge base of the platform to include ongoing upgrades and assist in the planning and application of the system, as well as staff education to assure maximum utilization of the system aimed at cost effective and quality services. li>Fulfill requests by recording ROI authorization, obtaining records from different types of storage, copying records to the appropriate media, calculating fee for copies, managing unpaid charges, and reporting sales tax. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. p>Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling pre-operative physical, and reviewing surgery information with patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Responsibilities also include team coaching and management of Avera Winter/Spring teams, included, but not limited to facilitating try-outs, scheduling, communication with parents and staff and scheduling of tournaments. ul> Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling pre-operative physical, and reviewing surgery information with patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Establishes rapport and works cooperatively with interdisciplinary team members (coaches, athletic directors, physicians, physical therapists, athletic trainers) as necessary throughout athlete's training program. Works collaboratively with department leaders to ensure proper quality components are captured for data collection purposes and problem solves with leaders if data is not collected or not within the targeted benchmarks. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Quality Specialist- Medicare D Quality role administers the quality management system to manage the review of clinical processes, documentation, and patient records. Acts as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.