- NTT DATA North America (San Francisco, CA)
- …including benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing . -Collaborate with configuration analysts, business ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- Gilead Sciences, Inc. (Foster City, CA)
- …prompt follow-through, and being proactive. * Working knowledge of various claim processing principles, documentation requirements, and processing ... Analyst to take the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support… more
- Banc of California (Santa Ana, CA)
- …the following functions: Research and document retrieval, Stop Payment, Levy and Subpoena processing and research, Reg E and Zelle claim research, Reg CC ... throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed… more
- Elevance Health (Los Angeles, CA)
- …the Data Team in leading complex data projects, building and scaling processing capabilities, conducting data analysis and expanding reporting. This role will center ... around mining complex claims , diagnosis, eligibility and patient data for valuable insights...findings into high quality, data driven decisions to improve processing capabilities and expand the use of client data… more
- The County of Los Angeles (Los Angeles, CA)
- …departments and the landlord, and manage schedules and budgets. Familiar with processing change orders and payment requests. Works with County Counsel to review ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...and clerical procedures, systems, and software such as word processing , managing files and records, accounting records, designing forms,… more
- The County of Los Angeles (Los Angeles, CA)
- …care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and ... and may participate in the work of subordinates engaged in sterilizing, processing , packaging, and distributing medical and patient care supplies and equipment. +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... 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
- Robert Half Accountemps (Lynwood, CA)
- …Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing . Prepare and analyze aging reports to proactively ... opportunities may be available. Key Responsibilities: Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... DUTIES/RESPONSIBILITIES: * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate… more
- Canon USA & Affiliates (Sacramento, CA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more