- Amazon (CA)
- …needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient ... from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include reviewing patient accounts,… more
- Robert Half Accountemps (Lynwood, CA)
- …may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party ... Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed. + Collaborate with payers and providers to resolve… more
- Ventura County (Ventura, CA)
- …general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
- BrightSpring Health Services (Union City, CA)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- CVS Health (Sacramento, CA)
- …to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and ... while avoiding over-committing. + Other activities may include providing claim status information, benefit coverage interpretations, and explaining plan eligibility.… more
- The County of Los Angeles (Los Angeles, CA)
- …to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- GE Vernova (CA)
- …at lowest final cost. + Claim Management: Define strategy for claim management and direct actions accordingly. Address claims by determining and ... Administration, or equivalent commercial background + Background in contract law, claim management, scheduling, risk and change management. + Strong oral and… more
- Dignity Health (Bakersfield, CA)
- …teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims ... business functions. Working knowledge of DHPR and CMS rules for Claim . Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines… more
- Banner Health (CA)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation… more
- Travelers Insurance Company (San Jose, CA)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more