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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

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Coding Compliance Auditor (HIM Inpatient) HIM Financial Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Alhambra, California In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS DRG validation purposes

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

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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

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide

Apply if looking for Flexibility and Financial Freedom

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

Clinical Appeals Specialist Registered Nurse Join the transformative team at City of Hope , 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

Estimate Reviewer II Requisition ID 2024 25293 Job Locations US FL | US TX San Antonio | US TX Dallas | US GA Atlanta | US AZ Phoenix | US MO Kansas City | US NC Charlotte | US IL Chicago | US AL Birmingham | US CA San Diego | US IN Indianapolis | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything We Touch Position Summar

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev