- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... Performs computations. Typically works on semi-routine assignments. The Pharmacy Claims Representative 2 analyzes and answers inquiries...It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the… more
- 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
- 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
- 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
- CDM Smith (Walnut Creek, 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 (Carlsbad, CA)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified… more
- Humana (Sacramento, CA)
- …it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Sharp HealthCare (San Diego, CA)
- …lead technician in processing daily, weekly and monthly reports and claims within the designated time frames.Performs pharmacy computer back-up procedure at ... from wholesaler, sticker appropriately, sign and date invoice.Maintains Drug Representative sign in log sheet. + Prescription processingAssures smooth pharmacy… more
- Cushman & Wakefield (Sunnyvale, CA)
- …that tenants and vendors comply with insurance requirements and coordinate all claims , as required KEY COMPETENCIES 1. Communication Proficiency (oral and written) ... conditions. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an...by state, federal, or local law. Further, C&W takes affirmative action to ensure that applicants are employed and… more