The Human Resources File Clerk is responsible for uploading digital files and data. They organize records and archive paperwork so it can be found when needed most by other departments or personnel who might require its services. They also make copies of documents and distribute them accordingly. The position reports to the Director, Human Resources and provides support t

Receive, screen, and process all referral information to the appropriate team member. Perform insurance verification or obtain authorization from any organization making referral that is at risk and requires prior authorization. Consult with the Director of Patient Care Services as necessary to ensure that all services are authorized and reimbursable prior to providing th

The Authorization Specialist MVP tracks and initiates authorizations and re authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request. Provides approved authorizati

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. The essential functions listed below are not intended

As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all enrollment, disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ensure accurate and timely processing. The ideal candidate w

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

As an Insurance Verifier, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel

Take on a key administrative role within an award winning health system. Elevate the operational efficiency of a world class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

Aya Healthcare has an immediate opening for the following position Claims Processor in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Processor experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to e

As the Insurance Verification, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative pers

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She will f