- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... Submitting your DD214 promptly helps ensure smooth and timely processing . Out of Class experience will not be accepted...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sharp HealthCare (San Diego, CA)
- …cash to patient invoice.Accurately identify a patient credit for immediate processing .Accurately identifies appropriate ANSI rejection code to post for all zero ... + The position need to be able to determine the processing of rejection codes and how to move a claim forward. + There is also the need to have familiarity… more
- BrightSpring Health Services (Ventura, CA)
- …+ Stay current with Medicaid claim regulations and ensure compliance in processing . + Track unpaid or delayed claims ; generate reports for management. + ... Provide excellent customer service in line with company values and policies. + Assist with medication preparation and dispensing under Pharmacist supervision. + Support additional pharmacy tasks and operations as directed by management. Qualifications… more
- Robert Half Accountemps (Sacramento, CA)
- …to permanent employment option. Responsibilities: * Ensure accurate and efficient processing of medical collections * Uphold comprehensive records relating to ... and effectively work with insurance companies to resolve denied or underpaid claims * Comfortably communicate with patients regarding their balances and explain… more
- Sharp HealthCare (San Diego, CA)
- …of knowledge of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data ... Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt… more
- Robert Half Accountemps (Los Angeles, CA)
- …+ Maintain and analyze financial and operational performance metrics related to claims processing , denial management, and payment posting. + Collaborate with ... reduce denials and delays in reimbursements. + Conduct root cause analysis for claim denials and develop strategies for resolution. + Participate in budgeting and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …scheduling translation services Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or ... claim payment status Any other questions they may have...codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural… more
- Stanford Health Care (Palo Alto, CA)
- …National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), payer specific edit processing required to ensure clean claim submission for both ... surgical encounters, applying hospital and professional modifiers to CPT codes, processing any errors associated with the revenue cycle process, and collaborates… more
- VetsEZ (CA)
- …citizenship required). Preferred Experience: + Prior experience in care coordination, claims processing , or patient engagement systems. + Practical experience ... develop, test, and operationalize AI-driven product ideas-such as automated claims triage, intelligent document processing , and conversational assistants-into… more