- Kemper (Fresno, CA)
- …assigned cases. + Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... of pleadings, briefs and memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur, but at no greater… more
- Lowe's (Valencia, CA)
- …with third-party logistics (3PL) partners to address and resolve delivery claims * Maintain strong, professional relationships with vendors, liquidation partners, ... BDC, and outlet teams * Resolve customer and cargo issues, and ensure claims are updated in Lowe's systems Minimum Qualifications * High School diploma Preferred… more
- Fujifilm (Sacramento, CA)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
- Cognizant (Sacramento, CA)
- …teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added ... in writing User Stories and handling CR/Epics. . Knowledge of Billing and Claims configuration is a plus. **Compensation:** - Annual salary range: $99,000 to… more
- Walgreens (Roseville, CA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Gilead Sciences, Inc. (Foster City, CA)
- …with standard pharma and consumer data types and sources such as patient claims , Xponent, Plantrak, sales, activity. . Expertise in commonly used pharma datasets ... such as IQVIA, Symphony, Komodo claims , Optum, Definitive health, Health Verity, EMR/HER . Expertise in Python including commonly used data science libraries such as… more
- CDM Smith (Rancho Cucamonga, CA)
- …management activities, including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... and understanding of legal requirements. Provides expert witness service in claims administration cases. Performs other duties as required. **Job Title:**… more
- J&J Family of Companies (Santa Clara, CA)
- …utilization review, health outcomes, risk management, provider contracting, and claims processing. + Develop relationships with Advisory Committee members and ... track review periods, and analyze data on medical review, prior authorization, and claims payment trends to inform payer strategy, tactics, and team priorities. +… more
- Alameda Health System (San Leandro, CA)
- …and referral coordination and revenue cycle operations (billing, claims , denials, authorizations, registration related edits, education with clinicians) ... - scheduling, registration, and referral coordination. Revenue - billing, claims , denials, authorization, and registration impact Determines access and revenue… more
- Cedars-Sinai (Torrance, CA)
- …supporting Hospital, Professional Fee billing and collections. Submit clean, accurate claims to payors and perform timely follow-up to resolve outstanding balances. ... huddles and problem-solving discussions. Research and resolve denied or underpaid claims ; prepare and submit timely, accurate written appeals with supporting… more