- Walgreens (San Francisco, CA)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- DoorDash (San Francisco, CA)
- …automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial ... has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The successful… more
- Walgreens (Castro Valley, CA)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with ... companies as well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- Datavant (Sacramento, CA)
- …**Quality, Compliance, and Scalability** + Ensure analytics products support audit defensibility, regulatory compliance, and documentation traceability. + Design ... SDLC. + **Technical Acumen:** Comfortable working with large datasets, EHR data, claims data, and HCC-based analytics. Familiarity with query languages such as SQL,… more
- Actalent (Irvine, CA)
- …+ Maintain accurate records including OSHA 300 logs, workers' compensation claims , audits, + and training documentation. Manage third-party safety audit ... platforms (eg, Avetta) and return-to-work programs. *Exposure Monitoring & Medical Surveillance + Oversee programs for chemical, physical, and biological exposure monitoring. + Manage medical surveillance and respirator fit testing programs. *Training &… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... has been reviewed by an independent auditor. Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) Compensation The successful… more
- Cedars-Sinai (Torrance, CA)
- …Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... review to ensure accurate charge capture, enhancing third-party reimbursement and minimizing audit liability. + Review accounts on OCS report with providers to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ensure accuracy, ... to Revenue Cycle Leadership. The incumbent will recommend coding changes based on audit & research. The incumbent will assist departments with resolution of claim… more
- Chapa-De (Auburn, CA)
- …and AAAHC. + Oversee investigations into compliance violations, safety incidents, and legal claims in collaboration with HR and legal counsel. + Educate leaders and ... and deliver regular reports on risk trends, mitigation activities, and audit findings to senior leadership. Required Experience: MINIMUM QUALIFICATIONS: + Bachelor's… more
- Acosta Group (Concord, CA)
- …all work assigned. * Assists with preparation for client visits and completes audit corrections. * Builds and maintains rapport with store personnel to effectively ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
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