- ICW Group (San Diego, CA)
- …in designing and optimizing data models that support actuarial analysis, policy processing , claims processing , underwriting, compliance reporting, and ... logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds and maintains… more
- Cardinal Health (Fresno, CA)
- …dispensing using Pioneer software. Ensures accurate patient information is submitted for claim and confirms proper claim has been captured. + Effectively ... with insurance companies, obtaining prior authorization for physician dispensing medication claims that are rejected. Follows up on submitted authorization requests… more
- Robert Half Accountemps (Los Angeles, CA)
- …role within a healthcare setting, with a strong understanding of insurance claims processing . + Technical Skills: Familiarity with electronic medical records ... administrative support in the healthcare field. Key Responsibilities: + Insurance Claims Follow-Up: Proactively reach out to insurance companies to resolve unpaid… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... errors, inconsistencies, and discrepancies. + Uses guidelines related to the processing of public assistance applications to verify eligibility, correctness of… more
- Robert Half Accountemps (Atwater, CA)
- …proper processing . * Collaborate with insurance providers to resolve claim discrepancies and expedite payments. * Maintain organized records of billing ... Medi-Cal, Medicare, and third-party payers. * Verify insurance coverage and ensure claims are submitted accurately and on time. * Communicate with patients to… more
- Gilead Sciences, Inc. (Foster City, CA)
- …through analysis. + Strong proficiency in Microsoft Excel/Word/PowerPoint and of 3rd party claim processing tools (eg, Imany, Model N, etc.). Knowledge of ... Microsoft Access a plus. + Experience in a utilization-based claim processing environment in the pharmaceutical or biotech industry helpful, but not required.… more
- Elevance Health (Los Angeles, CA)
- …medical coding systems such as ICD, CPT, and HCPCS strongly preferred. + Claim processing and adjustment experience strongly preferred. + Previous experience in ... Skills, Capabilities, and Experiences:** + 3-5 years GBD Facets processing and adjustment experience strongly preferred. + Prior experience...high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. Please… more
- The County of Los Angeles (Los Angeles, CA)
- …a Human Resources Manager. Experience at the level ofPayroll Clerk Iis defined as processing the payroll for a segment of a County departmental or Health Services ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with...the level of Payroll Clerk I is defined as processing the payroll for a segment of a County… more
- The County of Los Angeles (Los Angeles, CA)
- …and approving invoices for vendor payments, preparing invoices for services rendered, processing employee expense claims for reimbursements, cash receipts and ... and the distribution of estate assets pursuant to probate decrees. Prepares claims for reimbursement of expenditures for large scale categorical aid programs… more