- CTG (CA)
- …decision-making. + Monitor key performance indicators (KPIs) related to claims processing, denials, collections, and reimbursements. + **Training & Documentation** ... + Strong understanding of hospital revenue cycle processes, billing, coding, claims , and reimbursement; with a previous focus on behavioral health.… more
- Marriott (San Jose, CA)
- …**Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the ... and reports all employee accident and general liability incidents to Claims Reporting Service. * Conducts hourly employee performance appraisals according to… more
- Cognizant (Sacramento, CA)
- …you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying ... outcomes, and resolution activities. *Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. *Analyze denial trends and… more
- Robert Half Office Team (Encino, CA)
- …needed. + Respond to Employment Development Department (EDD) inquiries, unemployment claims , and related compliance requirements. + Provide guidance to employees on ... benefit options, enrollment, and claims resolution. + Partner with payroll to ensure accurate...contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. (C)… more
- Robert Half Accountemps (Santa Barbara, CA)
- …Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals. * Process denied claims and write appeals for ... processes, prior authorizations, and payer policies. * Proficiency in handling medical claims and appeals, with a focus on resolving billing discrepancies. *… more
- Medtronic (Los Angeles, CA)
- …marketing, and international regulatory teams to ensure clarity and accuracy of promotional claims . + Work with Medical Affairs to confirm and align claims ... training and guidance to internal stakeholders on regulatory standards and company risk tolerance for advertising and promotion. **Must Have: Minimum Requirements**… more
- Robert Half Accountemps (French Camp, CA)
- …an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a strong ... on billing policies, compliance standards, and industry updates. * Audit and review claims such as UB-04 and CMS-1500 to ensure accuracy and adherence to guidelines.… more
- Zurich NA (Los Angeles, CA)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...incentive bonus eligibility set at 25%. As an insurance company , Zurich is subject to 18 US Code |… more
- Sedgwick (Sacramento, CA)
- …services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The … more
- Robert Half Office Team (San Marcos, CA)
- …on a system that is not always easy to understand - insurance claims , authorizations, billing, and appointment scheduling can quickly become overwhelming. That's why ... verification with patience and clarity. + Research and resolve claims -related issues, including prior authorizations, coding questions, and payment discrepancies.… more