- Sharp HealthCare (San Diego, CA)
- …nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home health ... provide, support, and help facilitate care coordination services provided by the Case Manager . This position is responsible for the care and services delivered to a… more
- SanDisk (Milpitas, CA)
- …and Reporting teams and business partners from BU Finance, Sales Operations, Claims Settlement and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Manage the ... with IT and other stakeholders to modify and implement functionality improvements to system reports and processes + Lead the ERP and enhancement projects for our… more
- Towne Park (Los Angeles, CA)
- …standards are met or exceeded. Under the direction of the Account Manager , the Guest Service Captain has additional duties involving coordination and administration, ... as well as providing troubleshooting and/or guidance when the manager is not on-site. The Guest Service Captain is...dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys… more
- Dignity Health (San Bernardino, CA)
- …administrator. + Initiate and oversee timely investigations for all work-related injury claims , including Root Cause Analysis. + Monitor claim progress, ensuring ... providers, and our third-party administrator. You will guide the claims process from start to finish-investigating work-related injuries, managing documentation,… more
- City of Long Beach (Long Beach, CA)
- …managing employee leave programs, return-to-work processes, workplace accommodations, injury claims , payroll and timekeeping, and implementation of benefit plans. ... this role ensures that time-off, payroll, accommodations, and injury claims are handled accurately and in compliance with labor...integration of new hires and transfers into the HRMS system , guiding them on onboarding and benefits. + Serve… more
- Highmark Health (Sacramento, CA)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... subsequent adjustments in the hospital information system . + Identifies systemic payment errors and make process improvement recommendations to assure the highest… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...solution of a variety of problems of organization, budget, systems and procedures, program, facilities planning, general management, and… more
- Interior, Bureau of Indian Affairs (Sacramento, CA)
- …evaluating and recommending needed improvements to the automated and manual data systems used by human services programs for monitoring IIM supervised accounts. ... Social Services Program to beneficiaries; serve as a case manager of assigned cases; maintains a formalized case management... of assigned cases; maintains a formalized case management system which documents the workflow of case services with… more
- Sharp HealthCare (San Diego, CA)
- …**What You Will Do** Working under the direction of the Manager of Benefits Administration, the Benefits Administration Analyst provides operational support ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or… more