- Prime Healthcare (Ontario, CA)
- …missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee ... claims , performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. Qualifications Education and Work Experience + Minimum… more
- Prime Healthcare (Redding, CA)
- …missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee ... claims , performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Evolent (Sacramento, CA)
- …mining, advanced/ statistical analysis, and data manipulation + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission and...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- Sedgwick (San Diego, CA)
- …professional needs. **PRIMARY PURPOSE OF THE ROLE** + To provide clients with professional care handling losses or claims regionally unassisted up to $10M, ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
- Elevance Health (Los Angeles, CA)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Allied Universal (Los Angeles, CA)
- …Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....consulting projects, and other assignments as directed + Produce professional and expert reports, memos, and letters that are… more
- Evolent (Sacramento, CA)
- …administration, epidemiology, public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, ... or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more
- Zurich NA (San Diego, CA)
- Senior Professional Liability Underwriter 125023 Zurich is seeking an experienced Construction Professional Liability Underwriter, (Mid-Level II or Sr Level III) ... role will be filled at either the Mid-Level Construction Professional Liability Underwriter (Level II), or Sr. Construction Property...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Gold River, CA)
- AVP, Construction Professional Liability Underwriter 125133 Zurich North America is hiring an AVP, Construction Professional Liability Underwriter, (AVP Level IV ... role will be filled at either the AVP, Construction Professional Liability Underwriter or VP, Construction Professional ...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more