Clinical Operations Analyst Temporary Employment Program Temporary Employment 74578BR Job Summary The Department of Anesthesia and Perioperative Care ranks as one of the largest departments in the School of Medicine with an annual budget of $145 million. The two largest components of the annual budget are Professional Fee Income and Extramural Funds, representing 90.4% or

Medi Cal Biller, Senior is responsible for all Medi Cal/CCS billing of accounts to Fiscal Intermediary (FISS) to ensure that PFS is capturing all revenues as timely, efficiently and accurately as possible. The Medi Cal Biller, Senior utilizes many complex and varying regulations, guidelines and systems to perform Medi Cal/CCS billing functions. Proactively works with Fisc

The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Essential Functions and Responsibilities of the Job Knowledge of CPT/HCPC and ICD 9/ICD 10 codes and guidelines. Comprehensive knowledge of DMHC and CMS guidelines to accurately adjudicate Commercial and Medicare Advantage claims. C

The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Essential Functions and Responsibilities of the Job Knowledge of CPT/HCPC and ICD 9/ICD 10 codes and guidelines. Comprehensive knowledge of DMHC and CMS guidelines to accurately adjudicate Commercial and Medicare Advantage claims. C

The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Essential Functions and Responsibilities of the Job Knowledge of CPT/HCPC and ICD 9/ICD 10 codes and guidelines. Comprehensive knowledge of DMHC and CMS guidelines to accurately adjudicate Commercial and Medicare Advantage claims. C

The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Essential Functions and Responsibilities of the Job Knowledge of CPT/HCPC and ICD 9/ICD 10 codes and guidelines. Comprehensive knowledge of DMHC and CMS guidelines to accurately adjudicate Commercial and Medicare Advantage claims. C

Employer DWS Group Title Insurance Advisory Senior Relationship Manager Location Boston, NYC, Chicago or other DWS office location Job Code #LI LV2 #LI 04 About DWS Today, markets face a whole new set of pressures but also a whole lot of opportunity too. Opportunity to innovate differently. Opportunity to invest responsibly. And opportunity to make change. Join us at DWS,

Eligible for a $2,500 Sign on Bonus Eligible for Full Time Benefits Shift Full Time The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolu

Self motivated, organized, and have a strong entrepreneurial spirit Recruit producers from all 50 states using our state of the art technology and marketing support Handle incoming and outgoing calls, gather and verify required information, answer questions and provide producers with product and marketing advice Provide presale assistance including case design, product se

Responsible for reporting all first notice of claims in accordance with client, carrier, and company guidelines, statutory regulations, and best practices. ESSENTIAL DUTIES AND RESPONSIBILITIES Reports all new losses on all lines of coverage to the applicable insurance carrier(s); Maintains diaries on each open claim; Logs incoming legal bills and insures all bills have b

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

Under Terros' Health's policies and professional requirements, the Clinical Intake Specialist participates as a member of an interdisciplinary clinical team working with individuals diagnosed with General Mental Health and Substance Use diagnoses. Works in conjunction with the intake clinician to complete the initial intake requirements, assigns patients to appropriate tr

Under general supervision of the Radiology Financial Clearance Manager, the Insurance Coordinator/ Financial Clearance Specialist f unctions as primary interface between MGB Imaging sites, MGB Patient Service Center, insurance companies, patients, and referring practices. The incumbent performs all tasks related to obtaining insurance authorizations for diagnostic imaging

Under general supervision of the Radiology Financial Clearance Manager, the Insurance Coordinator/ Financial Clearance Specialist f unctions as primary interface between MGB Imaging sites, MGB Patient Service Center, insurance companies, patients, and referring practices. The incumbent performs all tasks related to obtaining insurance authorizations for diagnostic imaging