- The Hartford (Walnut Creek, CA)
- …The team is committed to personal growth as we strive to provide excellent customer service to our insureds. As part of our commitment to continuous learning, we are ... business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with...of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our… more
- Movn Health (CA)
- …Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level role ... payer systems is essential. Functional Responsibilities + Submit clean claims via EHR to all payers within 24 hours...via EHR to all payers within 24 hours of service + Review and process claim denials and rejections,… more
- BrightSpring Health Services (San Diego, CA)
- …May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer service to external and internal ... environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals,… more
- Dignity Health (Bakersfield, CA)
- …structures for operational clarity. - Collaborate with market leadership, finance, claims , and network teams to align contracting strategy with growth objectives. ... sets, division of financial responsibilities, and provider information. - Partner with Claims and Configuration teams to audit system inputs, reducing payment errors… more
- The County of Los Angeles (Los Angeles, CA)
- …am Pacific Time (PT). Filing will remain open until the needs of the service are met and is subject to closure without prior notice. OUT-OF-CLASSEXPERIENCE WILL NOT ... CHOICE TESTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19. PART II: An evaluation of training...of MOST notices. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- UCLA Health (Los Angeles, CA)
- …our team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service , and ... skills. In this role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines. + Ensure… more
- Humana (Sacramento, CA)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Providence (CA)
- …update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible ... specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers are not… more
- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- EFI Global (Sacramento, CA)
- …CARE, THERE'S A PLACE FOR YOU HERE EFI Global is a full- service engineering, fire investigation, environmental, health and safety, and specialty consulting services ... cultivate strategic partnerships in the **large complex loss and catastrophic property claims ** space. At the forefront of innovation and integrity, our firm… more