- Humana (Sacramento, CA)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Cardinal Health (Fresno, CA)
- **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... medical practice. The Revenue Cycle Management team focuses on a series of clinical and...and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- Sedgwick (Sacramento, CA)
- …OF THE ROLE:** To provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and updating client claim ... comprehensive, complex, and accurate reports to assist the litigation management team in analysis of claims to...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Cedars-Sinai (CA)
- …care in Los Angeles. We provide an amazing benefits package that includes health care, dental , vision, paid time off and a 403(b). Discover why US News & World ... following established practices, policies, and guidelines of Revenue Cycle Management supporting Professional Fee billing and collections. Duties include reviewing… more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management , Medical ... understanding of standard claims processing systems and claims data analysis. Strong project leadership and management...(PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time… more
- Sedgwick (Sacramento, CA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- HCA Healthcare (Campbell, CA)
- …the lead on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are ... and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible...Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you… more
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