- Humana (Sacramento, CA)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... external relationships. Works with all departments of Health Services to support , provide assistance and direction in overall medical management effectiveness.… more
- Sharp HealthCare (San Diego, CA)
- …policy and procedures but also to explore how the finance function can support operations. The Assistant Controller is responsible to provide, and present financial ... statements based on claims by date of service on a monthly basis...providing and presenting the region financial statements based on claims by date-of-service on a monthly basis. + BUDGETINGAssists… more
- Elevance Health (Costa Mesa, CA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- The County of Los Angeles (Los Angeles, CA)
- …submit documentation from a qualified medical provider or other qualified professional to support your request for a testing accommodation. Please note, you will be ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …submit documentation from a qualified medical provider or other qualified professional to support your request for a testing accommodation. Please note, you will be ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Financial Partners Credit Union (Downey, CA)
- …- $40.64 per hour Position Type Full Time Job Description Objective: To support and maintain company objectives related to delinquency by efficiently collecting and ... accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of...letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when applicable. Education… more
- Kemper (Bakersfield, CA)
- …collaborating with peers in the sales organization, State Product Managers, Claims , Agency Support and Licensing, Marketing, and Customer Service/Underwriting. ... + Bilingual a plus. + Working knowledge of insurance operations: underwriting, claims , marketing, and product. + Must have and maintain an acceptable driving… more
- Utilities Service, LLC (Redding, CA)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... employees. " **Benefits** We offer a competitive range of benefits to support our employees' health, well-being, and financial security. Medical, dental, and vision… more
- Utilities Service, LLC (Milpitas, CA)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... hired employees. **Benefits** We offer a competitive range of benefits to support our employees' health, well-being, and financial security. Medical, dental, and… more