- Humana (Sacramento, CA)
- …This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a ... healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation,… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
- Dignity Health (Bakersfield, CA)
- …lead role, with strong project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices. ... **Responsibilities** The Claims Research Specialist will oversee and manage research...issues **Qualifications** **Minimum Qualifications:** - Bachelors degree in Business, Healthcare Administration, or a related field or experience in… more
- Cognizant (Sacramento, CA)
- …for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Evolent (Sacramento, CA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Amazon (CA)
- …experience in a call center environment 1+ years with medical billing, insurance claims , or healthcare revenue cycle Demonstrated proficiency in Microsoft Office ... of customer-service, administrative work and are motivated to cultivate change in healthcare . You are currently looking for your next opportunity at an organization… more
- The County of Los Angeles (Los Angeles, CA)
- … healthcare law. Experience may include laws and regulations relating to healthcare providers; False Claims Act; Anti -Kickback Statute; consent and ... 04 Describe in detail your experience in the practice of healthcare law pertaining to False Claims Act. If you do not have experience, please indicate "Not… more
- Evolent (Sacramento, CA)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Prime Healthcare (Ontario, CA)
- …technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee Health Plans. Through in-depth ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/196005/vice-president-of-health-plan-operations-and- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime … more
- Cedars-Sinai (CA)
- …with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ISA/GS/GE/ST ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more