- Prime Healthcare (Chino, CA)
- …Management experience in acute care setting preferred. + Experience in risk management and/or professional liability claims management preferred. + Should ... participates in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety… more
- 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
- Prime Healthcare (Redding, CA)
- …a minimum of two years of inpatient experience preferred + Experience in risk management and/or professional liability claims management preferred + Should ... participates in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety… more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... **Job Description** The Case Management Coordinator provides support to the utilization review...arranging services for members. + Provides assistance to the Claims Department, when requested. + Documents all patient specific… more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... / Medical Groups as requested by the UM Nurses, Medical Directors, or Management . + Processes Extensions and Denial Letters, when needed. + Prepares Utilization… 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
- 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM operations ... offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the… 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 ... carriers. + Prepares comprehensive, complex, and accurate reports to assist the litigation management team in analysis of claims to meet client-specific, program… more
- Sacramento Municipal Utility District (Sacramento, CA)
- Title: Construction Management Inspector II Department: Civil Engineering Location: Sacramento, CA, US, 95827-3824 Category: Skilled/Craft/Trades **Minimum Pay ... sections of this posting. We are posting this opportunity for a Construction Management Inspector II along with a Construction Management Inspector I… more