- Blue Matter (San Francisco, CA)
- …with ability to select appropriate methodologies + Experience working with pharmaceutical commercial data (eg, prescription data, claims data, market research ... industry. We partner with our clients to help them achieve commercial success across the lifecycle of their products, portfolios, and organizations.… more
- Guidehouse (San Marcos, CA)
- …Marcos office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance ... medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment are required. Knowledge and… more
- Robert Half Legal (Irvine, CA)
- …among law firms. Key Practice Areas: + Defense of employers in claims involving wrongful termination, discrimination, harassment, retaliation, wage and hour, and ... employment contracts + Federal and California state court litigation, including Ninth Circuit cases + Employment advice and counsel + Workplace investigations and handbook/policy drafting Associate Position Highlights: + Approximately 60% litigation / 40%… more
- UCLA Health (Los Angeles, CA)
- …Representative, you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. In this role, you will conduct thorough ... and strategic account reviews, lead efforts to resolve reimbursement discrepancies with third-party payers, and implement proactive follow-up strategies to accelerate account resolution. This position requires strong communication skills to work effectively… more
- HUB International (Fresno, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... us a leading sales and service organization in the insurance industry. Through a robust network of resources, you will be amongst some of the industry's top talent to help guide and support our customer's needs and provide them with innovative solutions.… more
- HUB International (San Ramon, CA)
- …service issues. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Identifies opportunities for cross-sell and up-sell ... of other HUB products and services when appropriate for the clients needs. Documents other insurance products and services the clients are purchasing through other providers and who those providers are. + Maintains accurate and organized account files by… 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, ... ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor… more
- Robert Half Legal (Irvine, CA)
- …Will work on employment advising and defending wage and hour, single party claims along with supporting commercial litigation teams too! 60% litigation--40% ... Law firm Seeks Associate Attorney to Handle Transactional & Litigation Employment & Commercial Litigation Am Law law firm seeks Attorney wanting to learn employment… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs under contract by Otsuka to ensure that they are ... This role has global responsibility for directing clinical and commercial product quality to ensure global supply for Otsuka's...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more