Clinical Investigator starting approx. July 2023 UCSF Division of General Internal Medicine at San Francisco General Hospital The Department of Medicine at the University of California San Francisco (UCSF) is recruiting for a Clinical Investigator (MD/DO or PhD/DrPH/ScD trained) to join the faculty as an Assistant, Associate, or Full Professor in the Division of General I

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Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing processes for all non Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, gathering relevant information from enterprise wide systems, and collaboration to resolv

Identifies and coordinates all aspects of financial obligations for private pay patients. Including, but not limited to, patient relations, physician liaison regarding financial liabilities, deposit estimates and collection. Assures that customer needs and/or complaints related to financial services are responded to and documented in a timely and professional manner and i

The Corporate Insurance team at UHS is looking for motivated Senior Program Manager Claims to join our innovative team and contribute to the maintaining of a rolling diary of claims. This position will be located in Dallas, TX. Essential Job Duties Maintain a rolling diary of 150 175 claims at any given time. Work with Risk and Defense counsel will be available to assist

The Financial Coordinator is part of a team who handles the direct interaction with patients and their families during difficult times, providing financial insurance and payment information to assist them in planning and managing their account balances related to specific services performed in the clinic. The Financial Coordinator educates patients on the various sponsors

Work From Home (WFH) This is a WFH position. The applicant must live within a one (1) hour radius of Dallas/Fort Worth and be available to come to the office for equipment pickup exchange, office meetings, and training, etc. Additional details in regard to WFH shall be discussed as part of the interview process. Shift 8 hour flex shift between 6am to 6pm Monday through Fr

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit

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This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job is responsible f

Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day to day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions to ensure compliance with AB1455, attention to CMS guidelines and department policy and procedures. Pr

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Apply Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc