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Reconciles, resolves, and researches 2 step claims and payments to ASH. Receives and sorts incoming mail including paper EOBs, faxes, Interoffice Mail, and Health Plan letters. Downloads electronic EOBs from Health Plan Portals. Count and scan EOBs and Health plan letters for distribution and track counts into daily inventory. Manually reconciles claims for payment from H
Posted 1 month ago
Blue Shield of CA
- El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities in collaboration with members and those involved with members' care including registered nurse case managers, social workers, dietitians, health coaches, pharmacists, and physicians. The FEP Health Coach will report to the FEP Department Manage
Posted 4 days ago
Actively keeps knowledge up to date by attending in services, conferences, and seeking on going educational opportunities. Continually seeks self growth opportunities. Conduct presentations, outreach activities about health and nutrition education, especially on lead poisoning prevention and related topics within the County of San Diego. You participate in health fair eve
Posted 4 days ago
Effectively manage the patient check in and check out process from start to finish to include identification verification, update or confirm demographic and insurance information, and ensure appropriate forms are provided and completed accurately. Collect specified co pays and payments from patients per coverage specifications, and from self pay patients. Screen for eligi
Posted 4 days ago
At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Join a winning team
Posted 4 days ago
This is a permanent position for a Contract Administrator in BioLegend's Business Development department. This position will be responsible for contract creation, negotiation, and drafting of a variety of commercial contracts in a fast paced, high demand contracts department. This position demonstrates the ability to manage and resolve complex contractual problems and wor
Posted 4 days ago
General Job Description Under general supervision, performs duties providing case management services to assigned individuals. Participates in, and supports, the planning, development, implementation, and evaluation of services in accordance with contractual and departmental requirements and guidelines. Specific assignments vary depending on program, grant, and patient de
Posted 4 days ago
to relieve suffering for people with great needs, but few options. We are dedicated to discovering and developing life changing treatments for patients with under addressed neurological, endocrine and psychiatric disorders. The company's diverse portfolio includes FDA approved treatments for tardive dyskinesia, Parkinson's disease, endometriosis and uterine fibroids , as
Posted 15 days ago
QUALIFIED INTELLECTUAL DISABILITIES PROFESSIONAL MANAGER Job Locations US CA NATIONAL CITY ID 2024 144300 Line of Business ResCare Community Living Position Type Full Time Pay Min USD $32.00/Hr. Pay Max USD $32.00/Hr. Our Company ResCare Community Living Overview The Qualified Intellectual Disabilities Professional (QIDP) Manager oversees delivery of consumer support serv
Posted 5 days ago
Position available through UCSD Temporary Employment Services (TES). Employment through TES is an excellent way to gain valuable UCSD experience and get your foot in the door for career positions. TES employment includes medical coverage, paid vacation & sick time, paid holidays, as well as training and development opportunities! ASSIGNMENT DETAILS Duration Assignments ty
Posted 1 day ago
Provides communication to clinical staff regarding the status of pending referrals and status changes. Contacts various clinics, facilities, and companies to obtain information to accurately complete referral/pre authorization requests. Actively tracks the referral pools and manages follow ups in a timely manner. Enters required data which includes insurance, screening in
Posted 4 days ago
This Director position is eligible to participate in the Director Incentive Plan and is bonus eligible for new hires. Position location is Scripps Green Hospital in Torrey Pines, La Jolla. Join the Scripps Health team in a Leadership role to direct patient centered healthcare for the Solid Organ Transplant Department. Receive endless appreciation while you build a rewardi
Posted 4 days ago
Develops, identifies, and provides referrals, within and outside of FHCSD, and effectively monitors and tracks such referrals. Effectively communicates with and recruits new patients into the clinic's or program's system of care, interacting well with community members and patients from diverse social, cultural, and economic backgrounds. Effectively leverages community re
Posted 4 days ago
to relieve suffering for people with great needs, but few options. We are dedicated to discovering and developing life changing treatments for patients with under addressed neurological, endocrine and psychiatric disorders. The company's diverse portfolio includes FDA approved treatments for tardive dyskinesia, Parkinson's disease, endometriosis and uterine fibroids , as
Posted 17 days ago
Resident Services Manager Job Locations US CA San Diego Job ID 2024 4612 Category Customer Service/Support Location US CA San Diego Location Name The Reserve at 4S Ranch Overview Rental Discount Available! Sares Regis Group of Newport Beach, California, is a privately held real estate development, investment and management firm that focuses on commercial properties and mu
Posted 15 days ago
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