- Dignity Health (Long Beach, CA)
- …a Registered Nurse (RN) with experience in patient safety and risk management for a general acute-care Hospital. As our Manager of Patient Safety and Risk at St. ... and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to...collaborate with other key stakeholders to implement learnings from claims . You will also spearhead the the coordination of… more
- Ross Stores, Inc. (Dublin, CA)
- **Our values start with our people, join a team that values you\!** Bring your talents to Ross, our leading off\-price retail chain with over 2,200 stores, and a ... while providing a fun and exciting treasure hunt experience\. As part of our team , you will experience: + **Success\.** Our winning team pursues excellence while… more
- Travelers Insurance Company (Diamond Bar, CA)
- …position will office out of the Diamond Bar or Irvine, CA locations. Under general supervision, manage Workers' Compensation claims with lost time to conclusion ... . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where… more
- City and County of San Francisco (San Francisco, CA)
- …Consultant, Nurse Manager , and/or Nurse Case Managers to review complex claims and establish medical protocols. 13. Advises the Occupational Nurse Manager ... Type: Permanent Civil Service + Recruitment ID: RTF0157029-01123419 Under general direction, the Worker's Compensation Supervisor assists and provides first-line… more
- Sedgwick (West Hills, CA)
- …+ Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims ... from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- University of Southern California (Alhambra, CA)
- …collector comment codes. + Meets Production and Quality Review Standards set by Team Supervisor and Billing Manager . Reviews patient accounts and back up ... Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated… more
- Sedgwick (West Hills, CA)
- …+ Refers cases to LTD Supervisor, LTD Manager , or Project Manager . + Negotiates settlement of appropriate claims within designated authority level. ... Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... Direction** + Provide guidance, coaching, and oversight over the work of the Manager , Medical Core Content, managing and ensuring the development of core scientific… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....of review/approval + Process improvement: work with a cross-functional team to map the process, identify bottlenecks, provide solutions,… more