- University of Southern California (Newport Beach, CA)
- …medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req Fire Life Safety Training ... needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +...area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref… more
- Humana (Sacramento, CA)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Travelers Insurance Company (Irvine, CA)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level… more
- Ventura County (Ventura, CA)
- …general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance ... years + 5 or more years 02 Describe your experience with billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare, and… more
- Ventura County (Ventura, CA)
- …supports the Chief Investment Officer in the review of securities litigation claims processing and/or other reporting activities. + Organizes and maintains ... copiers, and fax machines. Intermediate skill in: + Word processing software; Advanced skill in: + Formatting legal forms...level of skill is sufficient to perform daily word processing tasks, such as, producing routine letters, memoranda, and… more
- Lumen (Sacramento, CA)
- …Utilize Vector Databases and Knowledge Graphs to enhance AI applications in underwriting, claims processing , and customer engagement + Develop data pipelines for ... and automation of complex decision-making processes + Apply natural language processing (NLP) techniques to analyze and extract insights from unstructured data… more
- Mass Markets (CA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- J&J Family of Companies (Santa Clara, CA)
- …policy, utilization review, health outcomes, risk management, provider contracting, and claims processing . + Develop relationships with Advisory Committee ... track review periods, and analyze data on medical review, prior authorization, and claims payment trends to inform payer strategy, tactics, and team priorities. +… more
- Panasonic Avionics Corporation (Irvine, CA)
- …Primary contact to internal and external customers for resolving issues, requests, claims processing and communications related to warranty. Liaison to Ramco ... customers on all matters pertaining to warranty. . Handles most complex warranty claims , issues, requests. . Manage ERP tables related to repair service life cycle,… more
- UCLA Health (Los Angeles, CA)
- …Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim ... compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors,… more