- US Foods (Ontario, CA)
- …Join Our Community of Food People! BASIC PURPOSE The Coordinator , Warehouse will perform activities that support inbound, outbound, and ... (inbound documents, outbound documents, discrepancy reports, stock and damage claims , time sheets, requisitions, shipping labels, etc.) following standard… more
- Burlington (San Bernardino, CA)
- …in the nation, join the Burlington Stores, Inc. team as a Human Resources Coordinator ! As an HR Coordinator , you'll be responsible for providing comprehensive HR ... support and resolve benefits inquiries. + Coordinate FMLA, LOA, Workers Comp claims and submit paperwork to corporate/vendor + Handling and support additional… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM operations by performing ... offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the… more
- CVS Health (Sacramento, CA)
- …appeals. + Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook). ** Preferred Qualifications** + Prior experience working with claims . + ... with heart, each and every day. **Position Summary** The **Quality Appeal Coordinator ** coordinates reviews and evaluations for complaints and appeals received by… more
- Alameda Health System (Oakland, CA)
- Pharmacy Services Coordinator -Specialty Pharmacy, Per Diem, Varied shift days, 8hoursFeatured Job + Oakland, CA + Highland General Hospital + HGH Pharmacy - Retail + ... of new patient referrals and with initiation of therapy. 5. Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and… more
- Actalent (Sacramento, CA)
- …providing healthcare to underserved communities? Apply today. The Employee Relations Coordinator serves as a key liaison between the Human Resources department ... compensation insurance providers to ensure timely follow-up on all claims . + Review all terminations to ensure the actions...terminations when needed. Requirements + AA/BS in Human Resources preferred or in a related field, minimum of one… more
- Prime Healthcare (Ontario, CA)
- …members to join our corporate team! Responsibilities The Corporate Compliance Coordinator at Prime will participate and assist in compliance-related functions across ... of laws relating to Medicare, Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the Anti-kickback Statute + Experience in conducting or responding to… more
- Cardinal Health (Fresno, CA)
- …+ Monitor and manage daily billing workflows to ensure timely and accurate claim submission. + Organize and prioritize tasks across multiple practices, adapting to ... and payer policies. + Collaborate with cross-functional teams to implement clean claim strategies and reduce rework. + Serve as a liaison between billing… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... environment ** Preferred Qualifications** + Bachelor's Degree Business Administration or Health...for assistance.Provides feedback to Customer Service, Enrollment, Provider Relations, Claims Research, and Health Services on issues and trends… more
- CVS Health (Sacramento, CA)
- …team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc. ... + Organizational skills due to case load. + Effectively use Excel. ** Preferred Qualifications:** + Salesforce Experience. **Education:** + High School Diploma or… more
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