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Universal Health Services (UHS), one of the nation's largest and most respected providers of hospital and healthcare services, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. In 2024, UHS was recognized By Newsweek and Plant A Insigh
Posted 3 days ago
Account Sales Specialist I Location US VA Newport News Company Canon Virginia, Inc. Requisition ID 25867 Category Sales/Business Development Position Type Full Time Overview Do you enjoy sales? Are you wanting to grow in your experience and be challenged daily? Check out this exciting opportunity to join Canon Virginia's Sales Team as the newest Sales Specialist! Our Acco
Posted 9 days ago
Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio
Posted 26 days ago
Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required Research and respond to inquiries from members and internal business units Process GAP claims and make decisions within established guidelines and policies Provide claim and contractual information to appropriate internal and external parties Rese
Posted 7 days ago
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the
Posted 6 days ago
Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect
Posted 13 days ago
Property/Asset Specialist (Ashburn, VA) Job Locations US VA Ashburn Job ID 2024 11021 # of Openings 1 Category Supply Chain Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Ashburn, VA). Join our team of collaborative self starters focused on delivering practical and efficient solutions to help o
Posted 1 month ago
The Patient Financial Services (PFS) Team Lead is responsible for the timely and accurate editing, submission, and/or follow up of assigned claims. Processes claims for at least one payer type (e.g. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.). Ensures that all assigned claims meet clearinghouse and/or payer processing criteria. Provides appropriate fol
Posted 3 days ago
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Pro
Posted 3 days ago
This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job is responsible f
Posted 11 days ago
Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili
Posted 28 days ago
Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili
Posted 28 days ago
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Pro
Posted 29 days ago
Responsible for reviewing clinical information obtained from physicians, department queues and other clinical providers, ensuring data is substantial enough to authorize services for appropriate visit account types. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. Ability to properly obtain insurance
Posted 15 days ago
PI239071606
Posted 28 days ago
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