- Air National Guard Units (Beale AFB, CA)
- …Preference you are required to submit all supporting documentation to validate your claim of Veterans Preference eligibility with your application at the time of ... be within 120 days of discharge), and must provide proof of Veterans Preference claims (ie award of an authorized campaign or expeditionary medal, Purple Heart, VA… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... work queues accounts and completes account follow-up activities including: obtaining claim status, responds to insurance company and other authorized third-party… more
- Cardinal Health (Fresno, CA)
- …dispensing using Pioneer software. Ensures accurate patient information is submitted for claim and confirms proper claim has been captured. + Effectively ... with insurance companies, obtaining prior authorization for physician dispensing medication claims that are rejected. Follows up on submitted authorization requests… more
- The County of Los Angeles (Los Angeles, CA)
- …this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with the ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this supplemental questionnaire must be consistent with experience… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …employees in a timely fashion. * Oversee Worker's Compensation to include claims management; reporting, follow up with employees/ claim rep/nurse case manager ... payment. * Timely responses to VOE's verbal or written, levies, EDD claims /benefit statements, UI Filing responses, EDD new hire registry. * Administer judgements,… more
- LA Care Health Plan (Los Angeles, CA)
- …medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and ... and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with firm… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... and to prevent incorrectly entered email addresses. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a… more
- City of Carlsbad (Carlsbad, CA)
- …workers' compensation program via a Third-Party Administrator, reviews initial workers' compensation claims and determines type of claim to be established, ... medical providers, and investigators in the management of injured worker claims , works closely with insured employees and department managers regarding… more
- Prime Healthcare (Ontario, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... professional fee claims , performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... matches and overpayment referrals, determines overpayment amounts or investigates paid claim matches, if applicable, and prepares related documentation by citing… more