• Medical Collections Specialist

    TEKsystems (San Bernardino, CA)
    Description The Collector performs A/R collections and billing involving multiple insurance contracts & entities. Analyzes and audits accounts for correct balance, ... that may include: working rejections/denials, calling for status, tracer claims and rebilling. Identifies misapplied payments and requests payments,… more
    TEKsystems (05/23/25)
    - Related Jobs
  • Logistics Specialist

    TEKsystems (Santa Ana, CA)
    …assignment tracking/tracing customer delivery and customer product returns and claims . The Transportation analyst ensures all deliveries are effectively translated ... 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D for the employee and dependents)* Short and… more
    TEKsystems (05/20/25)
    - Related Jobs
  • Representative II, Accounts Receivable

    Cardinal Health (Sacramento, CA)
    …things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
    Cardinal Health (05/22/25)
    - Related Jobs
  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. ... designation by the American Academy of Professional Coders and/or Certified Coding Specialist (CCS) designation by the American Health Information Management… more
    LA Care Health Plan (04/11/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...York; Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (05/22/25)
    - Related Jobs
  • Construction Health & Safety Engineer

    NTT America, Inc. (Sacramento, CA)
    …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... developing, monitoring, and enforcing the corporate-wide personnel safety, environmental, health and regulatory management programs. This position has the...preserved so that claims will be resolved in a timely manner as… more
    NTT America, Inc. (04/30/25)
    - Related Jobs
  • Associate Medical Stop Loss Underwriter

    Highmark Health (Sacramento, CA)
    …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (04/04/25)
    - Related Jobs
  • Senior Medical Stop Loss Underwriter

    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 ... **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP)… more
    Highmark Health (05/20/25)
    - Related Jobs
  • Risk Manager

    Western Digital (Sacramento, CA)
    …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
    Western Digital (04/24/25)
    - Related Jobs
  • Health Information Manager (Medical…

    Sunnyside Nursing and Post-Acute Care (Torrance, CA)
    …for facility staff members, including the facility clinical staff. + HIPAA ( Health Insurance Portability and Accountability Act): Works to ensure compliance ... residents stay for short-term treatment or long-term care. Job Description + The Health Information Manager (HIM) is responsible for the overall management of the… more
    Sunnyside Nursing and Post-Acute Care (03/27/25)
    - Related Jobs