- Evolent (Sacramento, CA)
- …+ Ability to solve novel problems in creative ways is preferred + Previous healthcare experience with a focus in claims and prior authorization data is ... preferred **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to… more
- Oura (San Francisco, CA)
- …corporate, and privacy compliance programs, ensuring Oura's wearable technology and healthcare solutions adhere to legal and ethical standards. Reporting to the ... this role will be responsible for advising on regulatory risk, marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy… more
- Robert Half Accountemps (Lynwood, CA)
- Description A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance ... may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party… more
- Sharecare (Sacramento, CA)
- …2-yr associates degree in healthcare /health sciences OR equivalent experience in healthcare , preferably helping members navigate benefits and claims , OR held ... through personalized resource and referral facilitation, issue resolution and healthcare navigation. Utilizing motivational interviewing and guided approaches, the… more
- Elevance Health (Los Angeles, CA)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid ... on fraudulent claims . Health insurance experience required with understanding of health...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Elevance Health (Los Angeles, 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...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… 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 ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Company Overview:** Otsuka is a global healthcare company driven by our purpose "to defy limitation, so that others can too." Patients are at the center of our ... purpose as we seek to discover and deliver innovative healthcare solutions. Otsuka is a leader in the CNS...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Robert Half Accountemps (Lynwood, CA)
- Description A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance ... opportunities may be available. Key Responsibilities: Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other… more
- Carrington (Anaheim, CA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of...more visit: www.carringtonmortgage.com . **What We Offer:** + Comprehensive healthcare plans for you and your family. Plus, a… more