- Providence (CA)
- …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...**Preferred qualifications for this position include:** + Certified Professional Healthcare Risk Management (CPHRM) + 10+ years of medical… more
- TEKsystems (Fresno, CA)
- We are hiring Medical Claims Examiners! Must live within 65 miles of Fresno, CA to be considered due to onsite training requirements. Location: Fully remote with ... Schedule: 7:00AM - 4:00PM PST Monday-Friday Overview Our client is seeking a Medical Claims Examiner to join their growing team. This role is ideal for someone with… more
- Cognizant (Sacramento, CA)
- …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Insight Global (Irvine, CA)
- Job Description An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working 1-2 days on site. The training for this role will ... will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and post-billing… more
- Norstella (Sacramento, CA)
- …sciences analytical use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *As an RWD Analytic Consultant, you… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Norstella (Sacramento, CA)
- …relational databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *Lead the delivery of complex RWD… more
- Guidehouse (San Marcos, CA)
- …lieu of diploma / GED. + 1-3+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can be of ... the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. **What Would Be Nice To Have** **:** +… more
- HCA Healthcare (Campbell, CA)
- …is hired below midpoint of the range. **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means to be a part of… more
- Robert Half Accountemps (Los Angeles, CA)
- …focused on delivering exceptional financial and administrative support in the healthcare field. Key Responsibilities: + Insurance Claims Follow-Up: Proactively ... a healthcare setting, with a strong understanding of insurance claims processing. + Technical Skills: Familiarity with electronic medical records (EMR) systems… more