- Polaris Pharmacy Services, LLC (Covina, CA)
- …Homes, and Private Pay statements. KEY RESPONSIBILITIES * Process third-party billing, claim resolution, and adjudication * Manage FFS and PPS billing * Conduct ... weekends as needed * Perform additional duties as assigned by the Billing Manager Qualifications QUALIFICATIONS * High school diploma or equivalent * Required -… more
- Coinbase (Sacramento, CA)
- …core metrics and the broader customer experience. This role will report to the Manager of Payments Risk for NAMER and UK/EU regions and will be based remotely ... experience * Strong knowledge of pull payment processes and experience with fraud claim investigations * A passion for fighting fraud and abuse, and the curiosity… more
- LA Care Health Plan (Los Angeles, CA)
- …referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, ... current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association (ACM) Required Training… more
- Allied Universal (San Francisco, CA)
- …AM - 08:00 AM **What You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations across a range of environments ... of law enforcement experience, or 2 or more years of security supervisor or manager experience, or 3 or more years of security-related experience. + An armed guard… more
- Veterans Affairs, Veterans Health Administration (Redding, CA)
- …based approach to healthcare. Oversee GI service with compliance to Message Manager , MyHealtheVet, and encounter completion. Proficient in Tele-Health to home visits ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- POSITION TITLE: Financial Counselor REPORTS TO (TITLE): Business Office Manager SCHEDULE BEING OFFERED: + Tuesday - Friday: 8:00 am - 4:30 pm + Saturday: 12:00 pm - ... deductible and an out-of-pocket maximum are + Knows how these affect claim adjudication and patient responsibility + Knows how to calculate patient's estimated… more
- The County of Los Angeles (Los Angeles, CA)
- …and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Requirements MINIMUM REQUIREMENTS: LICENSE/CERTIFICATION: ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more
- CDM Smith (Carlsbad, CA)
- …and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Fresno, CA)
- …field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- The County of Los Angeles (Los Angeles, CA)
- …to be implemented. Coordinates and reviews with the pathologist and laboratory manager the implementation of new policies and procedures to enhance the overall ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with the experience… more