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

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self funded health benefits plans that manage costs without compromising benefits by offering innovative solution

Join the transformative team at , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facili

Analyze and develop solutions addressing customer Electronic Data Interchange (EDI) and punchout catalog needs. Qualify, develop and implement EDI and punchout catalog partnerships with Uline's customers. Serve as liaison between Uline's eCommerce, Sales and IT teams and our customers. Assist with testing new EDI and punchout catalog implementations and troubleshooting is

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for en

Verifies patient benefits by phone or insurance platform. Documents benefits into Therapy Source New Patient Registration (NPR). Provide insurance data support to the clinics and Central Billing Office. Provide support with Special Projects. Essential Functions Verifies insurance eligibility by phone or approved online platforms. Knowledge of in network payers with use of

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) 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 will f

Essential Job Functions Compiles application documents for appropriate payers and communicate with providers for final signatures if applicable. Submits payer initial enrollment and revalidation applications in various formats and follows up with payers in a timely manner. Monitors, compiles and maintains up to date and accurate enrollment records for all providers and co

Remote Provider Contract Manager REMOTE Seattle Area Job details Posted 05 April 2024 Location Seattle, WA Job type Contract Reference 908496 Job description Position Provider Contract Manager REMOTE Seattle Area Location Remote Everett, Seattle, Tacoma, Washington State Metro Area Duration 12 Months Hours Work hours 8 am to 5 pm Pacifici Standard Time, Monday through Fri

Are you looking for your next "great mission" professionally? Do you feel like you have more to give, want to learn new skills and be part of a team with a rewarding mission supporting our Active Duty Military and their families? Leidos has the perfect job for you! The BEST and BRIGHTEST come to Leidos, where we take pride in making a difference for every person we suppor

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Primary Office Location One North Shore Center. Pittsburgh, Pennsylvania. 15212. Join our team. Make a difference for us and for your future. Position Title Employee Benefits Account Executive Business Unit INSA Reports to Director of Employee Benefits Position Overview This position manages a complex book of employee benefits business and acts as the primary service cont

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of Coverage, departmental policies and procedures, and r

The Commercial Account Manager is responsible for assisting clients with service needs and making changes to existing accounts, meeting service, and sales delivery standards, and performing essential functions to achieve the quality and service standards developed by the agency. This position will assist Producers and Account Executives in the handling and processing of n