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Assist our employment law attorney in doing tasks on our client’s employment-related claims at state administrative agencies. We are hiring a Public Benefits Staff Attorney to represent clients in all stages of the application process for public benefits (SSDI/SSI appeals and others), support workers filing claims in small claims court and represent some clients at employment-related administrative agency hearings.
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Advanced degree in medical/biosciences (i.e., MD, PhD, PharmD, DPH, EdD, etc.) Family care services such as adoption and surrogacy reimbursement, fertility/infertility benefits, support for traveling mothers, and child, elder and pet care resources.
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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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Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
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UCSF Health Workers' Compensation Department integrates claims management, ergonomics, return-to-work and partners with occupational health services, EH&S and disability management to improve the health and safety of medical center employees.
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Deep knowledge (5 years) in the analysis of healthcare/life sciences data specifically longitudinal claims/clinical data from one or more of the following: IQVIA (e.g., LAAD), Symphony Health (APLD), Merative/IBM MarketScan, Optum Health data.
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Leverage your strong backend development skills using Python, Databricks and AWS, while working on ingestion and analysis of a high volume of complex medical claims data. Core Tools: Python, R, NextJS, React, TS, Tailwind.
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The ideal candidate will be responsible for running cases from start to finish, with a focus on handling California wage-hour class action claims and PAGA cases. Handle California wage-hour class action claims and PAGA cases.
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The position supports the Ergonomist/Program Coordinator and the Workers' Compensation Manager to reduce exposures, injuries, and their associated costs. This position works closely and collaboratively with Workers' Compensation, Occupational Health Services, Environmental Health and Safety, and Disability Management staff to create a safer workplace for UCSF Medical Center employees.
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If so, we are looking for a Full or Part-time Materials Engineer/Materials Scientist with broad design and manufacturing expertise to join our national Materials Science practice group to provide investigation, analysis, reports, and testimony where technical and scientific answers are needed to help resolve civil and criminal litigation and insurance claims.
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Relevant subject matter experience including, wholesale and retail renewable energy markets, renewable energy certificates (RECs), tracking systems, renewable and clean energy regulations, and impactful clean energy procurement strategies,GHG accounting best practices, and carbon impact claims.
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As a KYC/EDD Specialist, you’ll be responsible for reviewing KYC/KYB data points, gathering transaction information to respond to EDD requests from partners, responding to general risk questions, escalating to the appropriate investigations teams, when needed, and reviewing risk alerts related to sanctions, high risk transactions/accounts or partner referrals to determine if the activity falls within Mercury’s risk appetite.
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This position offers the opportunity to engage in complex, high-stakes environmental legal matters, including climate change, renewable energy, clean air, toxic tort claims, and contaminated site remediation.
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Strong analytical skills, including in-depth knowledge of PROs, claims database analysis methodologies, and real-world evidence generation relevant to payers and healthcare systems and FDA, OIG guidelines.
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Resiliency LLC partners, V Alex Kehayan, EdD and Joseph C Napoli, MD, are the authors of "Resiliency in the Face of Disaster and Terrorism: 10 Things to Do to Survive" This is a great opportunity for a dynamic and seasoned Sales Executive with at least 7-10 years staffing experience to join our fully remote Sales team.
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edd claims jobs in South San Francisco, CA
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