- Alameda Health System (San Leandro, CA)
- …access (scheduling, registration, and referral coordination and revenue cycle operations (billing, claims , denials, authorizations, registration related edits, ... Director, Ambulatory Access & Revenue Operations + San Leandro, CA + Fairmont Hospital...- scheduling, registration, and referral coordination. Revenue - billing, claims , denials, authorization, and registration impact Determines access and… more
- Dignity Health (Bakersfield, CA)
- …to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and provider ... Analyze Physician/APP KPIs to identify improvement opportunities for clinical programs and operations . - Evaluate and escalate concerns that may impact patients or… more
- Highmark Health (Sacramento, CA)
- …evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- US Tech Solutions (Whittier, CA)
- …**Next Start date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures, ... policies and reports; ensures appropriate payment of claims and maintenance of the claims system...as necessary. **SPECIFIC SKILLS NEEDED** Knowledge of HMO/or IPA operations ; medical terminology; ICD-10, RVS, and CPT coding knowledge;… more
- Sedgwick (San Diego, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote **ARE YOU AN IDEAL ... CANDIDATE?** We are seeking a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team. The ideal candidate will have at… more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen) **PRIMARY PURPOSE** : To ... operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor… more
- AIG (Los Angeles, CA)
- …way we help customers to manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's an opportunity to grow your skills ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Sedgwick (Brea, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...INCLUDE** + Supervises a team of examiners and technical operations colleagues, delegating duties as needed and ensuring proper… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you looking for an opportunity to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Highmark Health (Sacramento, CA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position...have the ability to apply knowledge about the business operations of the area within the defined scope of… more