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Strong understanding of revenue cycle management processes, including charge capture, claims processing, and reimbursement methodologies. Epic certification in Resolute Hospital Billing (HB) required, additional certifications preferred (i.e. Professional Billing, Claims, Benefits Engine.
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Deep expertise in working on IQVIA and Symphony Claims, Komodo claims, Optum, Definitive health, Health Verity, EMR data, Lab Data and patient chart audits. Conducting secondary research: analyze secondary data sources (e.g. Rx, claims, EMR, epidemiology data) to produce descriptive and diagnostic summaries, and insights/implications.
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Responsible for ensuring that all health and welfare benefit plans and practices, as well as workers compensation claims, are administered in compliance with firm policies and procedures, plan documentation, contractual arrangements, and regulatory requirements (COBRA, ACA, ERISA, IRS, HIPAA, FMLA, ADEA, ADA, other federal, state, and local laws.
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The Skydio team combines deep expertise in artificial intelligence, best-in-class hardware and software product development, and operational excellence to empower a broader, more diverse audience of drone users - from first responders to insurance claims adjusters, utilities, and more.
$187,000 - $236,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Familiarity with the key industry datasets such as sales data (IQVIA XPONENT, NPA, NSP, 867, and others) and most of all claims data. Knowledge and expertise in claims data (anonymized patient-level claims data) and EHR data is of specific interest for this role.
$115,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborates and guides stakeholders through the process and execution of Assignment of Claims, Novation Agreements, Protests, and Terminations to determine and ensure compliance with the Federal Acquisition Regulation (FAR), Department of the Treasury Acquisition Regulation (DTAR), Department of the Treasury Acquisition Procedures (DTAP), and Internal Revenue Service Acquisition Policy (IRSAP) supplemental regulations.
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The Skydio team combines deep expertise in artificial intelligence, best-in-class hardware and software product development, and operational excellence to empower a broader, more diverse audience of drone users - from action sports enthusiasts to first responders to insurance claims adjusters.
$41 - $53 an hourInternExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Describe your experience working as a Health IT Analyst on Epic Resolute Hospital Billing implementation projects. Describe your experience working as a Health IT Epic Resolute Hospital Billing application analyst.
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Exposure to / experience working with large data sets (such as claims data). immunology, infectious disease, oncology/hematology, other specialty medicine or rare disease. Strong in excel, VBA & any having programming experience in any language to process and synthesize large datasets.
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Knowledge of Human Resources policies and statutory and regulatory requirements including Title VII of the Civil Rights Act, California Labor Code, CFRA, California and Federal Wage and Hour Laws, Workers’ Compensation Law, FLSA, FEHA, ADA, FMLA, OSHA, EDD, and other applicable laws and regulations highly desired.
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Submits Insurance claims to Safety Engineer. Reviews PCO quotes, negotiates changes and claims protection. Provides proactive claims protection. Across California our notable projects include Kaiser San Leandro Medical Center, San Diego Central Courthouse, Scripps, Encinitas Acute Care Center, Veterans Home of California, Red Hawk Casino and Oracle Sun Santa Clara Campus.
$86,200 - $123,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Company car provided) This will involve travelling to our customers' home to conduct on-site inspections, thoroughly investigate coverage and prepare detailed estimate to efficiently resolve their claims.
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Completion of PhD/PsyD/EdD in Clinical, Counseling, Health or School Psychology from an APaccredited doctoral program by residency start date (Verification of Completion of all Requirements for Doctoral Degree form required.
$32.83 a yearInternExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Runs and distributes new hire, termination, and status change reports; generates semi-annual and annual reports including EDD and Turnover reports. Provides reports to verify Medi-Cal and SSN fraud and malpractice claims.
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For 28 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims investigations, SIU investigations and Vendor Management Programs.
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edd claims jobs in San Mateo, CA
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