- Cardinal Health (Sacramento, CA)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Robert Half Accountemps (Los Angeles, CA)
- …Specialist will be tasked with managing and processing medical insurance claims for acute care facilities, ensuring accuracy and efficiency in collections. ... position offers an opportunity to utilize your expertise in UB-04 claims while collaborating with internal and external stakeholders to resolve outstanding… more
- Zurich NA (Sacramento, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Insight Global (Santa Barbara, CA)
- …processes. This role will support the Finance & Accounting team by translating claims and revenue data into actionable insights and ensuring accurate ledger entries. ... ideal candidate will have hands-on experience with health plan financials, claims systems, and advanced data analysis tools. Key Responsibilities Collaborate with… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County...denial codes transmitted to providers for potential reimbursement on claims ; + Provides information to payors and ensures that… more
- BrightSpring Health Services (Union City, CA)
- …Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication ... Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations...+ Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands… more
- Sedgwick (West Hills, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- Sedgwick (West Hills, CA)
- …8521 Fallbrook Ave West Hills, CA 91304 **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Scripps Health (San Diego, CA)
- …thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist, you will be responsible for the following: * ... set by department guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have … more
- Zurich NA (Walnut Creek, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more