- Stanford University (Stanford, CA)
- …with third-party administrators, vendors, and consultants to investigate discrepancies, claim issues, and provide information in non-routine situations. Review and ... cost and performance, and ensure accurate and timely plan administration, claims payment, manage escalated issues, etc. Manage monthly billings, enrollments,… more
- Robert Half Accountemps (Atwater, CA)
- …Medi-Cal, Medicare, and third-party payers. * Verify insurance coverage and ensure claims are submitted accurately and on time. * Communicate with patients to ... matters, payment options, and account resolutions. * Review and analyze medical claims for accuracy and compliance with healthcare guidelines. * Utilize knowledge of… more
- BrightSpring Health Services (Union City, CA)
- …of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation, training, competency assessment, and ... a computer + Skilled in performing detailed work + Knowledge of Medicaid claims regulations and processes + As required by state, technician licensure or… more
- City and County of San Francisco (San Francisco, CA)
- …and submission of claims to the California Victim Compensation and Government Claims Board, and monitor claim progress and payment. 5. Assist with the ... arrangement of transportation for crime victims and survivors when appropriate. 6. Conduct program educational presentations to city and community-based partners, and city residents in their communities. 7. Translate as required to meet division needs.… more
- Centene Corporation (Sacramento, CA)
- …from claim submissions + Maintain shipping records including delivery claims , refunds, or other vendor related correspondence + Complete all documentation ... customers and shipping vendors when necessary + Coordinate and/or complete delivery claims when necessary to delivery vendors + Coordinate, monitor and record… more
- The Hartford (Irvine, CA)
- …timely communications, information, legal advice and other services to clients and Claims customers on legal and factual issues in a technology driven environment.* ... on behalf of clients.* Provide damage and liability opinions to clients and Claims customers. QUALIFICATIONS: * 7+ years of Tort experience.* Juris Doctorate (JD)… 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
- UNUM (Sacramento, CA)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- Prime Healthcare (Redding, 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
- CDM Smith (Rancho Cucamonga, CA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more