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Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...
view moreJob Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...
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Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $90000.00 - $100000.00 Salary Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner III _ (Hybrid)
This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the applica...
Department Name:
Quality
Work Shift:
Day
Job Category:
Risk, Quality and Safety
Estimated Pay Range:
$31.53 - $52.55 / hour, based on location, education, & experience.
In accordance with State Pay Transparency Rules.
Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle cho...
Site: Mass General Brigham Health Plan Holding Company, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performin...
Site: Mass General Brigham Health Plan Holding Company, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performin...
Job Introduction
Maximus is hiring for a Training Coordinator to support the New York Independent Assessor Program (NYIAP). The Training Coordinator will design, develop, and implement training materials in a classroom-style training environment. The Training Coordinator will work closely with the training leadership team to assess the impact of each training course to ensure trainees are succe...
New
Role Overview:
Under the direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on cl...
APPLICATION INSTRUCTIONS:
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CURRENT PENN STATE EMPLOYEE (faculty, staff, technical service, or student), please login to Workday to complete the internal application process . Please do not apply here, apply internally through Workday.
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CURRENT PENN STATE STUDENT (not employed previously at the university) and seeking employment with Penn State, please login to Workday to comple...
Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Supervisor, Grievance & Appeals, the Grievance & Appeals Nurse, RN (G&A Nurse, RN) is responsible for working directly with the IPAs, Hospitals, internal IEHP departmen...
