- 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. + ... Our Company PharMerica Overview Join our PharMerica team! PharMerica...Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- Elevance Health (Costa Mesa, CA)
- …make an impact:** + Reviews and evaluates accident or incident reports, individual claims , medical, legal or other documents relating to subrogation. + Responds to ... inquiries regarding claim recovery issues. + Identify, monitor and evaluate ...correspondence, legal documents and other information related to subrogation claims . + Coordinates actions involving accounting for payments received.… more
- TEKsystems (Northridge, CA)
- …and claim related issues. * Provides basic claim information and claim status regarding external claims that have been submitted. * Maintain patient ... That's the power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity employer and will consider all applications… more
- Humana (Sacramento, CA)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- Robert Half Accountemps (Irvine, CA)
- …ensure proper claim processing * Respond to patient and insurance company inquiries regarding billing and account status * Provide patients with explanations of ... accounts to identify outstanding balances * Conduct daily follow-up on outstanding claims and patient accounts via phone calls, emails, and written correspondence *… more
- HUB International (Newport Beach, CA)
- …region's PEO client programs. This role focuses on analyzing group census and claims data, preparing competitive quotes, and partnering with the sales and onboarding ... are underwritten appropriately, competitively, and in line with carrier and company guidelines. **Essential Duties and Responsibilities:** + Review and analyze… more
- Robert Half Accountemps (Carlsbad, CA)
- …programs. + Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims . + Review and resolve claim rejections, denials, and outstanding balances. ... and efficiency directly support patient care. The Billing Specialist will manage insurance claims , patient accounts, and billing inquiries. You'll play a key part in… more
- Highmark Health (Sacramento, CA)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the strategic implementation of new or transitioned accounts while ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… more
- BrightSpring Health Services (Sacramento, CA)
- Our Company PharMerica Overview Join our PharMerica team! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our ... Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k… more
- ICW Group (CA)
- …50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members ... make us an employer of choice and the vibrant company we are today. We strive to make both...stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers'… more