- 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 (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Community Partnership Manager** **(Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... California.** **Schedule:** Pacific Standard Time A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , formerly Beacon… 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
- UCLA Health (Los Angeles, CA)
- …are not limited to: + Obtain prior authorizations + Advocate for patients in insurance claims + Referral processing + Address in-basket messages + Appointment ... diplomatically and sympathetically with a patient population in varying degrees of health . Highly Desired: + Experience with medical insurance and… more
- Highmark Health (Sacramento, CA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims ...of health care services in accordance with claims submitted, and analyzes qualitative and quantitative data in… more
- City and County of San Francisco (San Francisco, CA)
- … claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance , third party payors, ... lower-level classification, 1663 Patient Accounts Supervisor. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for… more
- Amazon (CA)
- …for claims management and ensures successful and timely submission of all insurance claims . Maintains timely billing of services provided while ensuring high ... deadline: Dec 29, 2025 As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Revenue Cycle Analyst I will be responsible for supporting… more
- Sedgwick (Sacramento, CA)
- …either accredited, on your way to be accredited or qualified by experience + ** Insurance claims experience:** it is imperative that you have experience working ... on insurance ...on insurance claims within you respective field. Full claims ...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- EFI Global (San Diego, CA)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large ... loss, large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more