- Cardinal Health (Fresno, CA)
- …procedures, and physician notes, into standardized alphanumeric codes used by insurance companies for billing and accurate record-keeping. **_What is expected of ... + Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims. + Provides feedback/training for physicians… more
- Robert Half Legal (San Francisco, CA)
- …focus on O-1, EB-1, and EB-2 NIW cases. + Demonstrated success preparing RFEs, appeals , and other complex case filings. + Ability to manage high-volume caseloads and ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Banner Health (CA)
- …payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working ... Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years… more
- Elevance Health (Costa Mesa, CA)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Evolent (Sacramento, CA)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Cardinal Health (Sacramento, CA)
- …+ Verbal Communication + Data Entry Skills + Product Knowledge - Insurance , reimbursement, specialty pharmaceutical + Objectivity + Dependability + Multi-tasking + ... industry including Commercial and Government plans, Prior Authorizations, and Appeals + Experience with Microsoft Office products including Word, PowerPoint,… more
- Elevance Health (Walnut Creek, CA)
- …responsible for representing clients at legal hearings before the Workers' Compensation Appeals Board. **How you will make an impact:** + Securing optimal workers' ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Walnut Creek, CA)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… 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