- Highmark Health (Sacramento, CA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Highmark Health (Sacramento, CA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The County of Los Angeles (Los Angeles, CA)
- …vital public services as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. We are ... nation. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility...the landlord, and manage schedules and budgets. Familiar with processing change orders and payment requests. Works with County… more
- City National Bank (Los Angeles, CA)
- …The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. ... email to discuss claim decisions, obtain additional details or follow-up on existing claims within the regulatory defined guidelines, as well as, the banks policies… more
- Walmart (San Leandro, CA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number Y0927E Department HEALTH SERVICES Opening Date 06/01/2022 + Description + Benefits + Questions Position/Program ... and is subject to closure without notice. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES: The Los Angeles County Department of Health Services (DHS) is… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... Los Angeles County, CA Job Type Temporary Job Number Y0647A-EA Department HEALTH SERVICES Opening Date 04/10/2025 + Description + Benefits + Questions… more
- UCLA Health (Los Angeles, CA)
- …decisions. Primary responsibilities include: + Perform reconciliations of cash, revenue, claims , and A/R accounts. + Reconciliation of financial reports, balance ... are reflected accurately. Prepare reconciling journal entries as necessary. + Processing the general ledger month-end closing including coordination with internal… more
- WTW (Los Angeles, CA)
- …level claim regulatory requirements and compliance.** + **Significant experience with claims processing systems.** + **Significant experience in managing TPA's ... stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added services.** +… more