- LA Care Health Plan (Los Angeles, CA)
- …Health initiatives operate. This operational and policy infrastructure includes claims processing , provider network management, community engagement, data ... Initiatives team include analysis of housing data on enrollment, payment, or claims data to identify operational problems or issues. Make recommendations to resolve… more
- HUB International (Roseville, CA)
- …written interactions. + High School / GED + 1-2 years of healthcare claims processing , or benefits administration preferred **KNOWLEDGE / SKILLS / ABILITIES** ... Handles inbound calls on a queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone calls and inquiries no later… more
- Banner Health (CA)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple… more
- University of Southern California (Los Angeles, CA)
- …in managed health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing ... standards of quality and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts quality assurance reviews… more
- Datavant (Sacramento, CA)
- …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... pm EST * Comfortable working in a high-volume production environment. * Processing medical record requests by taking calls from patients, insurance companies and… more
- Amazon (Santa Clara, CA)
- …frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing , medical coding). As a leading subject matter expert ... Experience in building speech recognition, machine translation and natural language processing systems (eg, commercial speech products or government speech projects)… more
- Amazon (Santa Clara, CA)
- …frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing , medical coding). As a leading subject matter expert ... Experience in building speech recognition, machine translation and natural language processing systems (eg, commercial speech products or government speech projects)… more
- Essel (Fairfield, CA)
- …employee record management, worker's comp and unemployment insurance management and claims processing Development, Implementation and oversight of HR ... initiatives, processes and systems Assists with asset management, background checks, drug screens, medical exams and logistics for employees Ensures candidates meet all state and federal compliance requirements, including daily meal and break laws Assists with… more
- Sutter Health (Fairfield, CA)
- …constant fast paced workload. + Requires ability to learn all Care Center related claims processing functions and pass a skill assessment for each application. ... **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday **Weekend Requirements:** None **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 **Employee Status:** Regular Employees of… more
- Highmark Health (Sacramento, CA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more