- Travelers Insurance Company (Milpitas, CA)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- CTG (CA)
- …module for Ambulatory and Behavioral Health settings. + Design and build claims logic, charge capture workflows, fee schedules, charge routers, billing rules, and ... + Develop and execute test plans and scripts for system changes and upgrades. + Analyze and resolve issues...upgrades. + Analyze and resolve issues related to charging, claims , remittance, and billing workflows. + Support go-live and… more
- BAE Systems (San Diego, CA)
- …broader Indo-Pacific region. This role works closely with the Naval Supply Systems Command (NAVSUP) Fleet Logistics Center (FLC), Commander, Logistics Group Western ... (eg, source selection support) to post-award administration, including modifications, claims , and closeout. + Performance and Compliance Monitoring: Ensure the… more
- CVS Health (CA)
- …in healthcare or claims processing experience. + Experience with Aetna claims processing systems . **Education** + High School diploma/GED and equivalent work ... and external customers. + Track requests, maintain status reports, and investigate claim /file failure trends. + Configure EDI setups and support implementation leads… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …for the evaluation of Veterans and Service Members who have filed VA Disability claims . The incumbent will be located at VA Palo Alto Health Care System ... Clinical: Evaluates Veterans and Service Members who have filed VA Disability claims with the Veterans Benefits Administration (VBA) and/or Service Members being… more
- AON (San Francisco, CA)
- …interaction. + Maintains awareness of all insurance carrier partner products, services and systems . + Fully applies internal client management system to maintain ... interaction. + Maintains awareness of all insurance carrier partner products, services and systems . + Fully applies internal client management system to maintain… more
- BrightSpring Health Services (Sacramento, CA)
- …+ Triage, interpret and input orders into computerized medication order system while meeting accuracy and productivity standards of the pharmacy. Audits ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- Datavant (Sacramento, CA)
- …for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement ... revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between… more
- Stanford Health Care (Palo Alto, CA)
- …and communicating updates. + HR Systems and Administration: Act as a systems expert for HR management system (Workday). Advise leaders and teammembers on ... Program, leave communication & administration and act as a system expert for Workday. Performs core HR functions such...and team members on leave policies and practices, including claim filing process; act as liaison betweenteam members, leaders,… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 23 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more