- Sedgwick (Sacramento, CA)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to join… 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 ... inquiries this includes (but not limited to): general inquiries on claims processing , payment status and appeal and eligibility status verification. Document the… more
- Sedgwick (Sacramento, CA)
- …from an accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- VetsEZ (CA)
- …citizenship required). Preferred Experience: + Prior experience in care coordination, claims processing , or patient engagement systems. + Practical experience ... develop, test, and operationalize AI-driven product ideas-such as automated claims triage, intelligent document processing , and conversational assistants-into… more
- Cardinal Health (Sacramento, CA)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing ; provider contracting, network and data management; complex ... of the application of the Division of Financial Responsibility (DoFR) to claims processing . Strong communication, analytical, organizational, and time management… more
- Insight Global (Pleasanton, CA)
- …with Medicare regulations and supports the clinic's financial health through timely claims processing , payment posting, denial management, and collaboration with ... is responsible for the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Robert Half Accountemps (Lynwood, CA)
- …play a crucial role in managing billing operations, ensuring accuracy in claims processing , and maintaining compliance with organizational standards. This is ... software tools. Requirements * Proven experience in medical billing and claims processing . * Proficiency in using CareLogic and other electronic health record… more
- Oracle (Sacramento, CA)
- …+ **Regulatory Compliance** : Stay current with regulatory requirements related to claims processing across payers and government entities such as CMS/state ... grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for… more