- Polaris Pharmacy Services, LLC (Covina, CA)
- …as determined by the needs of the business. BENEFITS for full time Employees + Medical, Dental , and Vision insurance + 401 (k) (available for Part Time & Full ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Humana (Sacramento, CA)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience + Experience in data analysis and trend monitoring… more
- Robert Half Legal (Encino, CA)
- …guide entry-level case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health ... experience in personal injury pre-litigation * Proficiency in handling pre-litigation cases and claims processing . * Strong ability to review and analyze medical… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a specified… more
- Walmart (Manteca, CA)
- …operations by ensuring proper policies and procedures are followed ensuring timely processing of claims for example damaged defective returned liquidated items ... facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …to support the company's market access strategy. Oversees rebate invoice processing including validation to prevent revenue leakage and payment processes. Includes ... a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …assess IME program impact **Sponsorship Payments & Medical Grants** + Oversee processing of medical sponsorship requests and educational grant payments + Coordinate ... a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death… more
- Cardinal Health (Sacramento, CA)
- …The Coordinator, Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of ... School Diploma, GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with… more
- Horizon Services, Inc. (Hayward, CA)
- …changes are processed accordingly. + Administers benefits program, such as group health, dental and vision, life insurance , 401k, UI, COBRA etc., and responds ... all provides and vendors requests for information. + Assist employees with health, dental , life and other related benefit claims . + Coordinate workers'… 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