- Cognizant (Sacramento, CA)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a… more
- Insight Global (Irvine, CA)
- …individual will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working...assist management with implementation of measures to ensure claim processing and payment accuracy. They will also help monitor… more
- Humana (Sacramento, CA)
- …payor operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing , ... make an impact** **Required Qualifications** + Bachelor's degree in healthcare administration, public health, information systems, business, policy administration or… more
- Humana (Sacramento, CA)
- …of operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… 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
- Molina Healthcare (San Diego, CA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Sharp HealthCare (San Diego, CA)
- …level of service and interaction is provided, including accurate and timely claims processing , issue resolution, performance recognition, education and training ... analysis and follow-up purposes. **Required Qualifications** + Bachelor's Degree in Healthcare Management, Business, or other degree acceptable with combination of… more
- Amazon (Santa Clara, CA)
- …frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing , medical coding). As a leading subject matter expert ... Description At AWS Healthcare AI, we're revolutionizing healthcare delivery...in building speech recognition, machine translation and natural language processing systems (eg, commercial speech products or government speech… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior… more
- Grant Thornton (Los Angeles, CA)
- …projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing , with a focus on improving financial performance ... As a Healthcare Process Risk Senior Associate, you will get...ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and … more