- CVS Health (Sacramento, CA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the...and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of… more
- University of Southern California (Pasadena, CA)
- …by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must ... by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...submit prior authorizations forms in a timely manner + Support training needs + Prepare and maintain reports and… more
- Robert Half Legal (San Francisco, CA)
- …their insureds. This is a NON-LITIGATION position. If you are currently litigating insurance claims and want to shift away from litigation to a hybrid remote firm, ... their insureds * Investigate and research complex matters involving detail-oriented liability claims * Analyze complex insurance contracts and policy forms and apply… more
- Humana (Sacramento, CA)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Walmart (Manteca, CA)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and...integrity ethics and compliance models the Walmart values to support and foster our culture holds oneself and others… more
- Sedgwick (West Hills, CA)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or...curriculum + An assigned mentor and manager that will support and guide you on your career journey +… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Tutor Perini (Sylmar, CA)
- …in accordance with GAAP. + Preparation and review of technical accounting memos to support revenue recognition of change orders/ claims at the project level. + ... This individual will be engaged in the ongoing review of complex projects, claims , disputed change orders and identifying early warning signs of problem projects.… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Working closely in collaboration with the Global Medical Evidence Ops lead, support the design, execution, and reporting of studies to support generation ... proposals and publications, ensuring scientific rigor and compliance + Support data dissemination activities including publications, congress presentations, and… more