- The County of Los Angeles (Los Angeles, CA)
- …examinations and subsequent release at the level of Forensic Attendant**. OPTION II: An Associate of Science (AS) Degree , or higher, in Mortuary Science. LICENSE: A ... to examination. In order to receive credit for an Associate 's degree or higher, youMUSTinclude a legible copy of...as spam/junk/clutter mail. Los Angeles County will not accept claims of not receiving assessment invitations as a reason… more
- Walgreens (Fremont, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Humana (Sacramento, CA)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- Humana (Sacramento, CA)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Humana (Sacramento, CA)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more
- The County of Los Angeles (Los Angeles, CA)
- …**In order to receive credit for any college coursework or Associate 's, Bachelor's, or Master's degree, applicants must attach/upload in NEOGOV alegible ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Evolent (Sacramento, CA)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- Ventura County (Ventura, CA)
- …+ Educational Incentive - An educational incentive of 2.5% for completion of an associate degree, 3.5% for completion of a bachelor's degree, OR 5% for completion of ... necessary for disposition; + Oversees the preparation of reimbursement claims from the state for costs incurred due to...due to state-mandated programs that lack dedicated funding (SB90 Claims ); + May be assigned to serve as the… more
- Financial Partners Credit Union (Downey, CA)
- …for approval. + Assign accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of guarantee with insurance companies. ... + File GAP claims and process cancellations of warranties when applicable. Education...an equivalent combination of education and experience. + An Associate 's degree is preferred. + Proficiency in Windows, Excel,… more