- The County of Los Angeles (Los Angeles, CA)
- …education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of ... Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …across the organization and within client groups. **Responsibilities** Litigation and claims support: + Manage and track employment-related lawsuits, charges, and ... claims from inception to resolution, coordinating with internal and...and effective problem-solving, which are essential in the fast-paced healthcare industry. For most roles, we require a minimum… more
- Cedars-Sinai (Los Angeles, CA)
- …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... and external customers. Basic knowledge of basic accounting principles and healthcare billing and collection practices. + Detailed knowledge of medical terminology… more
- Axtria, Inc. (Thousand Oaks, CA)
- …the commercialization journey, driving sales growth, and enhancing patient healthcare outcomes. Committed to impacting millions of lives positively, our ... analytics using Real World Data (RWD) sources such as Claims data, EHR/EMR data, lab/diagnostic testing data, etc. +...be preferred + Exposure to syndicated data sets including Claims , EMR/EHR data and exposure to/experience working with large… more
- The County of Los Angeles (Los Angeles, CA)
- …public-sector benefits packages. Join us and discover a rich selection of healthcare options, robust retirement plans, and the flexibility to work, relax, and ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- University of Southern California (Los Angeles, CA)
- …standards of quality and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts quality assurance reviews ... health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing requirements;… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance… more
- Cognizant (Sacramento, CA)
- …States. **Job Summary** Join our team as a Customer Service Professional in the healthcare sector where you will utilize your expertise in MS Excel to enhance ... and contributing to the company's mission of providing quality healthcare support. **Responsibilities** + Provide exceptional customer service by addressing… more
- Walgreens (Cathedral City, CA)
- …Your Future** At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading ... usage, side effects, and cost-effective options + Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication therapy… more