• Customer Service Representative

    CVS Health (Sacramento, CA)
    …heart, each and every day. **Position Summary:** Health Concierge -Customer Service Representative is the face of Aetna to provide targeted, personalized service ... to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and… more
    CVS Health (08/28/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Sacramento, CA)
    …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (08/24/25)
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  • Customer Service Representative

    CVS Health (Sacramento, CA)
    …all with heart, each and every day. **Position Summary** Our Customer Service Representative is the face of Aetna/Mercy Care and impacts members' service experience ... requests for appeals and pre-authorizations not handled by Clinical Claim Management. + Performs review of member claim...and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting,… more
    CVS Health (08/30/25)
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  • Customer Service Representative

    CVS Health (Sacramento, CA)
    …with heart, each and every day. **Position Summary** Our **Customer Service Representative ** is the face of Aetna/Mercy Care and impacts members' service experience ... appeals and pre-authorizations, specifically those not handled by Clinical Claim Management. + Perform review of member claim...and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting,… more
    CVS Health (08/17/25)
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  • Senior Customer Service Representative

    CVS Health (Sacramento, CA)
    …bound calls to clients and payers, while working with other teams to resolve claims issues. + Documenting claims details into necessary tools. + Presenting data ... Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are...and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting,… more
    CVS Health (08/30/25)
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  • Subcontracts Representative Job Details…

    Black & Veatch (San Jose, CA)
    **Subcontracts Representative ** Date: Aug 18, 2025 Location: Overland Park, KS, US Murrieta, CA, US San Jose, CA, US Phoenix, AZ, US Houston, TX, US Nashville, TN, ... subcontracts + Participates in the resolution/processing of backcharges and claims , as needed **Management Responsibilities** Individual Contributor **Minimum Qualifications**… more
    Black & Veatch (08/19/25)
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  • Access Service Representative -Patient…

    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 ... Comp, Medicare/Outpatient Observation Notice. Sharp HealthCare is an equal opportunity/ affirmative action employer. All qualified applicants will receive consideration… more
    Sharp HealthCare (08/30/25)
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  • Senior Customer Service Representative

    CVS Health (Sacramento, CA)
    …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any… more
    CVS Health (08/27/25)
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  • Senior Participant Services Analyst

    Insight Global (Burbank, CA)
    …role is customer facing and is considered a key customer service representative for the Health Fund. The Senior Participant Service Specialist/Analyst will process ... health insurance claims and answers calls from the customer (participant, providers,... and call policies and procedures while making sound claim /call decisions. Foster strong relationships through the resolution of… more
    Insight Global (07/12/25)
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  • Commercial Manager - Pacific

    CDM Smith (Carlsbad, CA)
    …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more
    CDM Smith (08/13/25)
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