- AECOM (Fresno, CA)
- …world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Fresno** **, CA** . **JOB SUMMARY** ... Rail project by performing forensic delay analyses, schedule evaluations, and claims assessments. Working within the Risk Management Office, this role helps… more
- Cognizant (Sacramento, CA)
- …and responsibility for assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well ... denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do ... program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree with major in Health Services or Hospital Administration from an accredited college or… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Required: Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening ... skills Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Preferred Qualifications: Bachelor's Degree… more
- Highmark Health (Sacramento, CA)
- …or project management within the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Abbott (Livermore, CA)
- …large enterprise. + Prior experience with SOX, PCI, and HIPAA compliance + **Insurance claims / Health Care Industry experience** **Misc: This role is based at our ... career you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year + An excellent… more
- C&W Services (Hesperia, CA)
- …System (CMMS) and ensure alignment with dashboard metrics. + Support inventory health , warranty claims , and budget compliance to optimize site maintenance ... insurance. + Pre-Tax Benefits: Save on everyday expenses with commuter benefits, Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA). + Home &… more
- Cedars-Sinai (Los Angeles, CA)
- …Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer ... : High school diploma or GED required. Degree in Health Information Management preferred. A minimum of 3 years...ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Experience Knowledge of medical terminology, ICD-10 Codes, CPT Codes, HCPC Codes, health plan benefits, or claims required Computer skills required, specifically ... provider offices), answering the phone (including all calls regarding authorization processing, claims related phone calls, and any other calls received via the call… more
- Guidehouse (San Marcos, CA)
- …Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & ... Long-Term Disability + Tuition Reimbursement, Personal Development & Learning Opportunities + Skills Development & Certifications + Employee Referral Program + Corporate Sponsored Events & Community Outreach + Emergency Back-Up Childcare Program **About… more