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Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice. In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form.
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Position Summary: As a Third Party IVF Clinical Coordinator, you will play a crucial role in assisting intended parents, oocyte donors, and gestational carriers throughout the third-party reproduction process.
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IF an OTC expert, then a good understanding of Pricing, Payback & Chargebacks, Incentive Administration functionality in native SAP or third-party products like Vistex. Skills SAP Pre-Sales, Manufacturing, SAP Architect, Presales, SAP Delivery, Global Consulting, Remote/Travel.
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Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE.
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Incumbent is responsible for the oversight of severity coding by Third Party Administrator (TPA), appropriate delay, denial, or acceptance by TPA, appropriate medical case management, benefit provision and payments; as well as appropriate provision and payment of UC supplement benefits by departments, Payroll Department and Office of the President.
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The primary focus of UC San Diego's workers' compensation claims case management program is to design, develop and implement loss control initiatives. This position is independently responsible for the administration and management of more than 500 (of approximately 1000 total claims) incident reports, claims case management for more than 225 (of approximately 475 total open claims) workers' compensation claims and the proper identification and administration of CAL-OSHA recordable and reportable injuries for the UC San Diego campus.
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Reviews claims filed against MTS and MTS accident reports involving potential third-party liability and adjusts third-party liability claims in an efficient and cost-effective manner.
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Interfaces with Otis Elevator and Escalator and other third-party service providers, as requested, and keeps a record of any communication. Its Animal Rescue team has rescued, rehabilitated and released hundreds of marine mammals and endangered sea turtles throughout the Mid-Atlantic region.
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Serve as primary project point of contact to coordinate surveying and mapping services between Survey Party Chief and the client. Seven or more (7+) years of land surveying experience including experience at the party chief level, or related land development experience to include construction stakeout.
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Minimum of two years of experience in public or private third-party reimbursement; previous field reimbursement manager experience preferred. Work directly with office support staff, third party vendors (ex.
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Provide oversight and technical review for third-party engineer-of-record’s (EOR) drawings and specifications related to microgrid architecture and control, solar PV, energy storage, and other DERs to ensure that designs meet customer objectives and guaranteed performance.
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Additionally, the Liability Claims Supervisor directs the Claims Specialist and represents MTS in court on litigated claims. Negotiates settlements of bodily-injury and property-damage claims with claimants, attorneys and insurance carriers with approval and authority from Manager of Risk & Claims, General Counsel or the MTS Board of Directors.
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Can provide direct and/or indirect goods & services and may involve Third Party Intermediaries (TPIs). The decisions that are made by the Sourcing Specialist will be based on: industry, category, and supplier analyses, Supply Chain Management input or direction, Our Values in Action, Worldwide Procedures, Solar Policies, Quality Management System, process documentation, Import/Export compliance guidelines as well as adherence to State, Federal, and international regulations.
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Manage IT governance and third-party risk management framework, proactively identifying IT risks and providing oversight and guidance. Strategic Sourcing Director. Manage IT governance and third-party risk management framework, proactively identifying IT risks and providing oversight and guidance.
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Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights.
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tpa third party jobs in San Diego, CA
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