- J&J Family of Companies (Sacramento, CA)
- …benefit/buy & bill benefit design, coding, billing, prior authorization, and appeals processes + Demonstrated capabilities and performance success in prior roles ... following Company sponsored employee benefit programs: medical, dental, vision, life insurance , short- and long-term disability, business accident insurance , and… more
- ICW Group (San Diego, CA)
- …curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change ... continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional...major change analysis activities. + Serves as the final appeals point for escalated change control issues. + Collaborates… more
- Robert Half Accountemps (Los Angeles, CA)
- …strong understanding of healthcare and be bilingual in Spanish. Key Responsibilities: * Insurance Claims Follow-Up: Proactively reach out to insurance companies ... and English is a MUST. Requirements Medical Collections, Medical Denials, Medical Appeals , Spanish Language, Self-Pay Collections, HMO PPO Robert Half is the world's… 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 ... and provide back-up coverage. In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge… more
- Sutter Health (Santa Clara, CA)
- …the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said ... and clinical data for each authorization required and places calls to insurance companies and/or reviews organizations to obtain authorization. + Enters all… more
- International Rescue Committee (Oakland, CA)
- …caseload of individuals in immigration court, before the Board of Immigration Appeals , and/or before USCIS, + Actively co-facilitate and support grant opening, grant ... time off days depending on role and tenure, medical insurance starting at $143 per month, dental starting at...savings plans with immediately vested matching, disability & life insurance , and an Employee Assistance Program which is available… more
- Highmark Health (Sacramento, CA)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Cedars-Sinai (Los Angeles, CA)
- …and resolve complex cases and problem accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a ... required. College level courses in Finance, Business or Health Insurance preferred. + Minimum of 4 years of hospital...here?** Beyond outstanding employee benefits including health and dental insurance , vacation, and a 403(b) we take pride in… more
- Robert Half Legal (Irvine, CA)
- …complex real estate litigation matters, from case inception through trial and appeals , managing strategy, and execution. + Strategic Legal Counsel: Provide expert ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Evolent (Sacramento, CA)
- …of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more