- TEKsystems (Long Beach, CA)
- …current and additional information as it relates to Grievances and Appeals services. Utilizes department desktop procedures, workflows, job aids and training ... Diploma, Required 2 years of experience within grievances and appeals in a healthcare setting Experience Level Expert Level...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Humana (Sacramento, CA)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Sacramento, CA)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Robert Half Accountemps (Los Angeles, CA)
- …and follow up on outstanding patient and insurance balances. + Process insurance denials and appeals promptly and accurately. + Contact patients and payers ... is responsible for managing the collection of patient and insurance balances, ensuring timely reimbursement, and maintaining a high...phone and email to resolve account issues. + Verify insurance information and update patient records as needed. +… more
- Cardinal Health (Sacramento, CA)
- …queue as assigned in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate ... right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of… more
- Prime Healthcare (Victorville, CA)
- …and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. ... Join a Team of Dedicated Healthcare Workers Responsibilities The Insurance Biller is responsible to bill all insurance... Insurance Biller is responsible to bill all insurance companies, workers' compensation carriers, as well as HMO/PPO… more
- Ventura County (Ventura, CA)
- …accuracy rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to ... coders based on denials; + Assists in organizing, coordinating, and directing of coding activities of the Health Information Management Department at VCMC; + Reviews and evaluates policies and procedures for the Medical Records Department in relation to the… more
- Robert Half Accountemps (Duarte, CA)
- …Skilled Nursing Facility services. * Proficiency in handling Medicare, Medi-Cal, and other insurance claims, including denials and appeals . * Strong knowledge of ... and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a...measures to reduce future denials. * Draft and submit appeals for claim denials to secure appropriate reimbursements. *… more
- Stanford Health Care (Palo Alto, CA)
- …the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong ... analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and… more
- Sacramento County (Sacramento, CA)
- Liability and Property Insurance Analyst Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/5084047) Apply Liability and Property ... Insurance Analyst Level I/II Salary $77,318.64 - $117,450.00 Annually...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more