- Sharp HealthCare (San Diego, CA)
- …appropriate Medical Group Physician Representative.Collaborates with SCMG Medical Group Appeals when necessary. + Chart ReviewDocuments Initial discharges follow up ... family, the physician and the interdisciplinary team, as appropriate, regarding insurance coverage, discharge planning support, and post discharge care needs.Assists… more
- WelbeHealth (Pasadena, CA)
- …skilled nursing visits, as necessary + Assist with completing grievances, appeals incident reports, APS reports, and other quality and compliance requirements ... and loving environment where every person feels uniquely cared for. + Medical Insurance Coverage (Medical, Vision, Dental) + Work/life balance - we mean it! 17… more
- Alameda Health System (Oakland, CA)
- …functions to ensure accurate and complete data capture of demographics and insurance data required for billing and collections. Supports all revenue cycle functions ... Management (billing, collections, cash posting, payment variances, and clinical appeals ), Business Support (finance, analytics, revenue integrity, performance improvement,… more
- WelbeHealth (Modesto, CA)
- …enrollment experience, including share of cost, spousal impoverishment protections, and appeals processes + Experience working directly with the county DPSS ... every person feels uniquely cared for. + 401k + employer match + Medical insurance coverage (Medical, Dental, Vision) starting day one of employment + Work life… more
- Evolent (Sacramento, CA)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Executive Office for US Attorneys and the Office of the US… (Bakersfield, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Executive Office for US Attorneys and the Office of the US… (Fresno, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Centene Corporation (Sacramento, CA)
- …Prior experience with issue management in Call Center environment and/or Appeals & Grievances + Reporting knowledge **Education/Experience:** Bachelor's degree in ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… 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