- Sharp HealthCare (San Diego, CA)
- …all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit ... experience communicating effectively both verbally and in writing professionally. ** Preferred Qualifications** + HS Diploma or Equivalent + Experience communicating… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the ... diversity and contributing to an inclusive working and learning environment PREFERRED QUALIFICATIONS: Associate's Degree Computer skills, including Excel, EZ Cap,… 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)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Financial Partners Credit Union (Downey, CA)
- …and/or collateral. + Recommend accounts for legal action or repossession to the manager for approval. + Assign accounts for field chase when necessary. + ... Documentation and Claims : + Review and follow up on letters of...of education and experience. + An Associate's degree is preferred . + Proficiency in Windows, Excel, and Word. The… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract, discharges,… more
- Utilities Service, LLC (Redding, CA)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... or older + High School Diploma or GED equivalent preferred . + A minimum of 3120 hours of working...for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Workers' Compensation Analyst and department manager , you will manage workers' compensation claims by supporting employees ... treatment progress, recommending medical treatment interventions to the third-party claims examiner, and ensuring compliance with applicable workers' compensation… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract, discharges,… more
- Hensel Phelps (Pleasanton, CA)
- …Courthouse project.** The Safety Engineer is a resource for supporting the safety manager and project team in the successful completion of a construction project. ... unsafe acts or conditions. **Position Qualifications:** + A 4-year degree is preferred . Occupational Safety and Health degree suggested. + Valid Driver's License,… more