- Providence (Irvine, CA)
- …and case strategy. This role works closely with Risk Management, Compliance, Claims , and operational leaders to protect the organization's interests while advancing ... + Coordinate closely with Risk Management and insurance carriers on pre-litigation claims and insured matters. + Oversee outside counsel: approve strategy, budgets,… more
- Cedars-Sinai (Los Angeles, CA)
- …definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties ... to ensure alignment on revenue cycle initiatives. + Monitor and analyze claims data sent to the clearinghouse, including resolution of discrepancies in claim… 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, ... incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County...to $21,450 annually to offset the purchase of medical, dental , and/or vision insurance for you and your dependents.… more
- Walmart (Yuba City, CA)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (West Hills, CA)
- …Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Towne Park (Los Angeles, CA)
- …policy guidelines. **Benefits:** Employees are eligible to enroll in medical, dental , and vision insurance, accident insurance, critical illness insurance, hospital ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Robert Half Accountemps (Lynwood, CA)
- …may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party ... Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed. + Collaborate with payers and providers to resolve… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- NTT DATA North America (San Francisco, CA)
- …benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing. -Collaborate with configuration analysts, business analysts, and ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- BrightSpring Health Services (Union City, CA)
- …Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication ... management. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental , vision and life insurance benefits Company paid STD and LTD… more