- Sharp HealthCare (San Diego, CA)
- …activities and defect resolution.Identifies impact of solutions on existing and future systems . Identifies reporting needs based on system programming and ... and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit… more
- Medtronic (Irvine, CA)
- …in Advertising & Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent communication ... management systems , document management, and workflow design + Business system analysis **Physical Job Requirements** The above statements are intended to… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position will ... to telephonic and electronic inquiries and concerns on all products and paid/unpaid claims . Ensure that accurate information is being given to the provider in a… more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Cognizant (Sacramento, CA)
- …management systems and payer portals. . Familiarity with Epic system . . Familiarity with healthcare revenue cycle technologies and automation tools. **Required ... teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root… more
- CVS Health (Sacramento, CA)
- …knowledge of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma ... measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost… more
- The County of Los Angeles (Los Angeles, CA)
- …examinations for the detection and identification of viral agents utilizing live host systems such as tissue cultures, embryonated eggs, and suckling and adult white ... and assign a score based on a standardized scoring system . This part of the assessment is worth 100%...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Dignity Health (Long Beach, CA)
- …regulatory requirements for patient safety are fully met. You will participate in system office initiatives and programs to mitigate identified risks which result in ... adverse patient outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to implement learnings… more
- Towne Park (Indian Wells, CA)
- …shift if business conditions dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys and collects vehicle claim ... guest folio, and location of vehicle, damage surveys and claim check receipt for all vehicles taken into the valet system . Secures all keys on a belt clip or in… more
- Towne Park (Indio, CA)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...check receipt from all vehicles taken into the valet system . Consistently completes location on all key tags after… more