- Elevance Health (CA)
- …by providing clinical leadership and oversight across utilization management, appeals , and program innovation. This position ensures timely, appropriate, and ... 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… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- UCLA Health (Los Angeles, CA)
- …claims. This role requires expertise in billing guidelines, customer service, and appeals processes, as well as strong interpersonal and technical skills. In this ... claims. + Handle tracers, denials, and related correspondence, including initiating appeals and drafting appeal letters addressing coding issues. + Utilize patient… more
- Ventura County (Ventura, CA)
- …towards a flexible benefits program (including medical, dental, and vision insurance options) + Flexible Spending Accounts - Pre-tax benefit towards eligible ... disposition and modification of cases according to office policy. + Prepares reports, appeals , writs, and other legal documents. + Assigned complex cases which may… more
- Nevada County (Nevada City, CA)
- …(MOUs) (https://nevadacountyca.gov/475/Memoranda-of-Understanding-MOUs) for additional benefit information. Health Insurance The County sponsored plan is the PERS ... you are a member) to suit your needs. Health Insurance Plans + Anthem Blue Cross Select HMO +...detail your courtroom experience with respect to motions, trials, appeals , etc. How many trials have you been responsible… more
- Sutter Health (Berkeley, CA)
- …ABSMC-Alta Bates Herrick Campus **Position Overview:** Responsible for insurance verification and eligibility, assessment of patient financial requirements, ... counseling patients on insurance benefits and co-payments, and obtaining preauthorization for all...professionalism. RELATIONSHIP MANAGEMENT: * Assists physicians and patients with appeals process when treatment is denied. * Meets with… more
- Lincoln Financial (Sacramento, CA)
- …will independently assess more complex & higher value financial risks related to insurance products, determine price at which LFG will accept risks, alter coverage ... risk & pricing, and bind LFG in transactions for insurance products. You will determine whether to accept or...and independently with sales to address case issues and appeals , with little direction from underwriting management. * Negotiates… more