- City and County of San Francisco (San Francisco, CA)
- …and submission of claims to the California Victim Compensation and Government Claims Board, and monitor claim progress and payment. 5. Assist with the ... the San Francisco District Attorney's Office strives to make the criminal justice system humane and accessible by providing support and assistance to victims and… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …document benefit verification results in pharmacy systems . . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in obtaining ... and Rx Group numbers. . Use payer portals, phone, fax, and internal systems to obtain benefit information. . Collect and submit documentation from prescribers to… more
- Baylor Scott & White Health (Sacramento, CA)
- …and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission ... Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related… more
- The County of Los Angeles (Los Angeles, CA)
- …a resource for senior data engineers and architects in the selection and design of systems for use by the data science team. Reviews proposals by Data Scientists and ... improvement of data science tools and ensures that the team's tools and systems are well documented. Conducts and coordinates statistical inference of data and… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …and Oncology claim follow-up work for both Facility and Professional claims Essential Functions: * Ability to use computer keyboard, telephone and insurance ... accurately. * Identify error trends from data obtained through claims review and denials. * Prepare reports and analyze...for all issues related to the Revenue Cycle software systems used by the Revenue Cycle staff. * Ensures… more
- Sedgwick (Sacramento, CA)
- …worker's injury, medical treatment, psychosocial needs, cultural implications and support systems . + Effectively communicates and builds relationships with the ... claims ' examiner, client, injured worker, attorney and supervisor. +...+ Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes… more
- Highmark Health (Sacramento, CA)
- …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… more
- 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. ... Management: The candidate must understand and be knowledgeable in project delivery systems , contracting strategies, and typical contract forms and terms. The role… more
- Prime Healthcare (Inglewood, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates...annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of… more
- A Bright Future, Inc. (American Canyon, CA)
- …hire, manage all adds/moves/changes for existing employees using the Employee Navigator system . This position manages the Open Enrollment process annually with our ... benefit broker. + Worker's Compensation Claims management - manage the process of setting up a claim and managing the requirements from the carrier for claims… more
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