- Highmark Health (Sacramento, CA)
- …fraud investigations **Preferred** + 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing, ... state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business +...+ Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency +… more
- Alameda Health System (Oakland, CA)
- …Pharmacy, Per Diem, Varied shift days, 8hoursFeatured Job + Oakland, CA + Highland General Hospital + HGH Pharmacy - Retail + Services As Needed / Per Diem - Day ... of new patient referrals and with initiation of therapy. 5. Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries and to insure that procedures ... and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital… more
- TEKsystems (Loma Linda, CA)
- …their digital record. These are tied to some sort of case, which can be an insurance case, claims case, anything that they need to have the records documented ... for Lawyers or Insurance companies to process for Workers' Comp or any...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Amergis (Los Angeles, CA)
- …Essential Duties and Responsibilities: + Confirms Medicaid or other insurance eligibility for causality cases + Obtains additional information required ... start-up from beneficiaries and/or attorneys Intakes referral leads from attorneys, insurance adjusters, and medical providers + Reviews and research leads regarding… more
- Providence (Irvine, CA)
- …contact for employer clients, addressing issues related to access, network, claims administration, and performance. + **CRM Custodian:** Maintain an employer-based ... is preferred. + **Proven Leadership:** 10+ years of experience in a healthcare, health insurance , or consulting firm at a leadership level. At least 5 years of… more
- Cedars-Sinai (Los Angeles, CA)
- …guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include ... reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc.… more
- Parker Hannifin Corporation (Irvine, CA)
- …coverage for medical, prescription drugs, dental, vision, voluntary optional life, accident insurance , hospital indemnity insurance and critical illness ... repair deliveries to meet contract requirements. + Investigates and resolves claims or complaints by collecting and analyzing information. Coordinates with relevant… more
- Parker Hannifin Corporation (Carson, CA)
- …coverage for medical, prescription drugs, dental, vision, voluntary optional life, accident insurance , hospital indemnity insurance and critical illness ... suppliers and company personnel. + Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- Terumo Medical Corporation (Los Angeles, CA)
- …(QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are ... gowning, stand for long periods of time, comply with hospital policy/protocol and be aware of potential biohazards such...license and a personal automobile with an active vehicle insurance policy. It is Terumo's policy to provide equal… more