- Robert Half Accountemps (Sacramento, CA)
- …the financial sustainability of healthcare operations by analyzing and optimizing billing, insurance claims , and payment processes. If you have a meticulous ... Benefits are available to contract/temporary professionals, including medical, vision, dental , and life and disability insurance . Hired contract/temporary… more
- USAA (San Diego, CA)
- …physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Robert Half Accountemps (Los Angeles, CA)
- …of handling medical denials and appeals. * Expertise in working with medical insurance claims and resolving discrepancies. * Ability to analyze account data ... position ideal for someone with expertise in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm… more
- Robert Half Legal (Encino, CA)
- …entry-level case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance , ... Benefits are available to contract/temporary professionals, including medical, vision, dental , and life and disability insurance . Hired contract/temporary… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict resolution with ... Contractors and Customers + Assess and prepare claims from suppliers + Manage contract closeout procedures +...Perks: + Health & Wellness: Choose from three health, dental , and vision plans - including a 100% employer-paid… more
- Humana (Sacramento, CA)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Humana (Sacramento, CA)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims … more
- County of El Dorado (Placerville, CA)
- …including secured, unsecured, impounded, redeemed, and other taxes. + Review and approve claims for referral of tax monies and prepare claims for reimbursement ... from various State departments or agencies. + Prepare reimbursement claims for court-related expenditures, child custody, or other state-mandated programs. + Analyze… more
- Highmark Health (Sacramento, CA)
- … claims and encounters, clinical data, prescription drug data, membership data, dental and vision claims , provider data, financial data (ie, revenue, premium, ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...and projects may involve all aspects of the health insurance business and care management processes and may be… more