- Kelly Services (San Diego, CA)
- …technically complex cases + Build expertise with litigation, subrogation, and rehabilitation claims + Work in a collaborative, professional environment with ... always easy. That's where Kelly(R) comes in. We're seeking a **Workers' Compensation Claims Adjuster** to work with one of our top clients onsite in California.… more
- Cognizant (Sacramento, CA)
- … Claims Processor, you will ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. ... CPT, HCPCA, ICD-10 + Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims . + Knowledge of Medicare/Medicaid payment… more
- Cognizant (Sacramento, CA)
- …(with Facets), you will be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. ... CPT, HCPCS, ICD-10 + Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare/ Medicaid payment… more
- Travelers Insurance Company (Sacramento, CA)
- …will specifically manage Accountants Professional Liability (APL) and Real Estate Professional Liability (RPL) claims and litigation against various types of ... accounting and real estate professionals. Typical claims may include professional negligence, malpractice, breach of fiduciary duty and misrepresentation, among… more
- Adecco US, Inc. (Brea, CA)
- …files **Qualifications** + Minimum 5 years of California workers' compensation claims management experience + Bachelor's degree preferred; professional ... **Job Title: Workers' Compensation Claims Specialist (Remote - California)** **Location:** Remote (Must...4:30 PM We are seeking an experienced Workers' Compensation Claims Specialist to manage complex, high-exposure claims … more
- LA Care Health Plan (Los Angeles, CA)
- …all relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Sedgwick (West Hills, CA)
- …claims as determined by client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Sedgwick (West Hills, CA)
- …and professionally with claimants and clients by phone, written correspondence and/or claims system. + Maintains professional client relationships and provides ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow… more
- Cedars-Sinai (CA)
- …Familiarity with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ... of hospital or professional billing and/or collections experience required. + Professional billing experience in claims highly preferred. **Why work here?**… more
- Humana (Sacramento, CA)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
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