- Highmark Health (Sacramento, CA)
- …+ Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience ... processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss … more
- UCLA Health (Los Angeles, CA)
- …play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be responsible for ... monitoring claims workflows, coordinating with internal departments, and maintaining compliance...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- Elevance Health (Costa Mesa, CA)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- LA Care Health Plan (Los Angeles, CA)
- …directions, major issues, regulatory considerations and trendsetters. Knowledge of health insurance products, market segments and marketplaces. ... tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health ...of claims processed by medical groups and health plans contracted with LA Care. This role works… more
- MGE Underground, Inc. (Paso Robles, CA)
- …| Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self- insurance and Workers' Compensation ... and office teams. How You Will Contribute + Manage self- insurance claims . Evaluate the legitimacy, scope, and...communication with internal teams and external stakeholders regarding safety, health , and claims -related matters. + Track and… more
- Providence (CA)
- …and retain the best people, we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare ... and to fellow caregivers regarding applicable federal, state, and local laws, insurance codes, and regulations relating to liability claims handling, including… more
- Providence (CA)
- …who will:** **Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program:** + Communicate with ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more
- Royal Electric (Sacramento, CA)
- … claims adjusters, Nurse Case Managers, legal counsel, clients' insurance programs and internal personnel to ensure timely resolution, proper documentation ... vehicle & property repair and manages same. + Submits claims to carriers in accordance with insurance ...time. We promote a drug free workplace. Benefits + Health Care Plan (3 types of Medical plans, Discounted… more
- Zurich NA (Gold River, CA)
- … service. **Basic Qualifications:** + Bachelor's Degree and 3+ years of experience in Claims or Insurance OR + Zurich Certified Insurance Apprentice, ... an associate degree, with 3+ years of experience in Claims or Insurance OR + Completion of...employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time… more
- Illumination Foundation (Santa Ana, CA)
- …in Electronic Billing Platforms and EHR systems + Prior experience working with claims and communication with health networks + Proficiency in Microsoft (Mail, ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims...Medical Billing and Primary Care Billing Benefits + Medical Insurance funded up to 91% by Illumination Health… more