- Scripps Health (San Diego, CA)
- …shift. Over time additional hours when needed. * Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. ... thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist, you will be responsible for the following: *… more
- Elevance Health (Cerritos, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...and Columbus, OH In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Los Angeles, CA)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed)...best service possible. + Answers dedicated broker inquiries regarding health plan or service issues. + Responds to customer… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Sharecare (Sacramento, CA)
- **Job Description:** Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all ... their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans,… more
- Walgreens (San Francisco, CA)
- …policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, ... to customers inclusive of patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Provides direction to ensure that pharmacy department… more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Bar or Irvine, CA locations. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...handling experience **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this...is required. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more