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The position will ensure that claims processing procedures and controls are being followed by all Claims department personnel. We are seeking a qualified candidate for the Claims Processing Supervisor position.
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Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely process referrals/authorizations in the UM system of record; Identify duplicate requests using claims to verify existing authorization.
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The ideal candidate has experience negotiating and dealing with insurance providers, assessing accidents, providing comprehensive and objective analysis, processing insurance claims from A to Z, excellent verbal and written communication skills, and can work independently with little to no oversight.
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Submit pre-certification documentation to third party payers for authorization with correct CPT and ICD coding. Must be able to verify insurance and basic knowledge of both CPT codes and medical terminology.
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National Certified Registered Central Service Technician - Healthcare Sterile Processing Association within 1 year of hire , Or. National Certified Sterile Processing and Distribution Technician - Certification Board for Sterile Processing and Distribution within 1 year of hire.
$20.08 - $29.05 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Phlebotomy Certification CA (CPT-1) is required upon hire. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service.
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4Front specializes in large-scale, highly automated, high-speed processing, production & packaging of cannabis consumer packaged goods for the regulated cannabis market in CA. 4Fronts CA campus is one of the largest licensed cannabis processing facilities in the world, not just California.
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Experience designing eDiscovery databases and reports; reviewing and quality checking database data loads; coordinating complex projects; developing recommendations, plans, cost estimates, budgets, procedures, and specifications for case-specific projects from discovery to trial phase; drafting project proposals and provide status reports; providing end user support and customer service; troubleshooting litigation support firm applications; processing experience a plus.
$111,200 - $166,800 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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LAUSD is currently seeking well-qualified candidates to fill a Workers' Compensation Claims Processing Specialist position. A Workers' Compensation Claims Processing Specialist participates in the claims processing activities of the Workers’ Compensation Section of the Division of Risk Management and Insurance Services.
$35.62 - $44.02 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ability to review work order instruction provided by NDT Level III to ensure processing is complete within the requirements of the specification. Basic computer skills (word processing, data entry, and simple spreadsheets.
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Expert understanding of healthcare data sources, such as medical claims, pharmacy claims, lab, EMR, RPM, and other relevant data sets. Continuously monitor industry trends, emerging technologies, and best practices in population health management and value-based care analytics, and proactively integrate them into our analytics platform roadmap.
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Operate processing controls and equipment to perform acid etching of weld joints, electro-chem etching of hardware, passivating, degreasing or stripping parts and assemblies to assure proper processing per specified requirements.
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Familiarity with one or more of the following key skill areas: Signal Processing, Tracking, Sensor Fusion, Receivers (Digital and Analog), Synchronizer / Timing, logic design, computer architecture, Systems Engineering Processes, LabView, Software (Interface, Visualization.
$120,000 - $223,000 a yearTemporaryExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Communicate with brokers or reinsured clients to obtain information necessary for processing claims. Claims Examiner - cyber insurance. D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a global insurer with a growing office located in Encino, CA (91436.
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Basic Qualifications: Experience Two (2) years experience as a Sterile Processing Technician working in Sterile Processing Department in an acute hospital OR as a Surgical Technician with two (2) years recent experience working in a Sterile Processing Department in an acute hospital.
$26.01 - $28.82 an hourFull-timeExpandUpdated Today
claims processing cpt jobs in Los Angeles, CA
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