- Sedgwick (Sacramento, CA)
- …in audit exceptions. + Reviews and updates notes/diaries in claims management system as instructed. + Coordinates jurisdictional training on state specific ... Best Workplaces in Financial Services & Insurance Work Comp Claims Services Associate | Hybrid | Sacramento, CA Are...directed by state, carrier, or client. + Reviews prior audit results, settled files, or files with no activity… more
- Guidehouse (San Marcos, CA)
- …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever… more
- Cardinal Health (Sacramento, CA)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and ... This position will also support the Director with transactional audit diligence and integration planning, as well as the...records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs,… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Customer Service Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting and corrective… more
- Dignity Health (Bakersfield, CA)
- …for audit purposes. - Collaborate with internal departments, including claims processing, UM, compliance, and provider relations, to develop and implement ... **Responsibilities** The Claims Research Specialist will oversee and manage research...Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing issues within a managed… more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant Manager - Workers Compensation | Roseville, CA Are you looking for ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Grant Thornton (Los Angeles, CA)
- …include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of ... engagements, assess performance and provide feedback + Develop and execute internal audit workplans and control test procedures based on engagement scope, and client… more
- Grant Thornton (Newport Beach, CA)
- …and the overall effectiveness and efficiency of processes. + Oversee internal audit outsourcing and co-sourcing engagements for clients. + Manage the risk ... to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing, and reimbursement, with a focus on enhancing… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application...or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience… more
- Kemper (Cerritos, CA)
- …learner growth. + Collaborates on process improvement initiatives related to claims handling, vehicle technology, and repair operations. + Identifies and addresses ... for all staff members. **POSITION QUALIFICATIONS:** + 10+ years of auto claims adjusting experience handling coverage, liability, injury, and complex auto damage … more