- Sharp HealthCare (San Diego, CA)
- …prior authorizations for specific medications, through SCMG Pharmacy or through the patient's health plan when applicable. Has all information available to help ... PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information :** **Weekend Requirements:** Every Other **On-Call Required:** No **Hourly Pay Range… more
- Stanford Health Care (Palo Alto, CA)
- …patient populations including Adults, Pediatrics, Veterans, and BMT amongst others. Our Allied Health team members serve on the front lines with opportunities to: * ... mutually support both within and outside their roles. Opportunities to Grow Allied Health professionals in Radiation Therapy have access to: * Working in Radiation… more
- Sharp HealthCare (San Diego, CA)
- …needs on an on-going basis. **Required Qualifications** + Bachelor's Degree in Health Administration, Business Administration, Health Information Technology, ... of information of various entities. + Data integrityConsults with manager with regards to data integrity issues.Identifies barriers in data abstraction methods… more
- Stanford Health Care (Palo Alto, CA)
- …**Required Knowledge, Skills and Abilities** + Understanding of an academic health system environment, procedure billing, reimbursement and coding specific ... meaningful impact at one of the nation's premier academic health systems? As the Director of Operations - Advanced...and Clinical Pathology + Provides guidance and direction for manager or clinical site fulfilling their responsibilities to ensure… more
- Elevance Health (CA)
- …and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance billing and/or medical coding experience is strongly ... appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical… more
- UCLA Health (Los Angeles, CA)
- …workflow and business process flow analysis and design + Bachelor's Degree in health care information technology, computer science, or related area, and/or ... Developer to join our team, reporting to the Salesforce/CRM Application Manager . This role is responsible for developing, maintaining, and enhancing Salesforce… more
- Elevance Health (Los Angeles, CA)
- …+ Utilizes comprehensive knowledge of some Medicare or Tricare coverage issues, medical coding , and general knowledge of CMS or DHA claims processing systems. + ... California, Colorado, Illinois, Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Los Angeles, CA)
- …with medical billing guidelines, and regulations preferred. + Experience with medical coding systems such as ICD, CPT, and HCPCS strongly preferred. + Claim ... District of Columbia (Washington, DC) In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Los Angeles, CA)
- …volume claim samples. + Accessing provider contracts, company claims policy and coding guidelines to support recovery opportunity. + Partnering closely with recovery ... Colorado, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Walnut Creek, CA)
- …development. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, … more
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