- Elevance Health (Walnut Creek, CA)
- …alternative surgical and non-surgical treatments. + Performs first level provider appeals of coverage decisions. + Provides support and education to internal ... clinical and non-clinical staff regarding the principles associated with appropriate musculoskeletal diagnoses, treatments, and management. + Participates in… 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 ... for process/system enhancements, escalation, and overall coaching, leading, and developing staff . 9. Ensure that staffing levels are optimized across revenue cycle… more
- WelbeHealth (Modesto, CA)
- …applications by initiating and maintaining proper follow-ups with participants, center staff , and government agencies to ensure timely processing and completion of ... enrollment experience, including share of cost, spousal impoverishment protections, and appeals processes + Experience working directly with the county DPSS… 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 ... in a supportive and professional manner with other attorneys, paralegals, support staff and client agencies. Applicants must have a demonstrated capacity to function… 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 ... in a supportive and professional manner with other attorneys, paralegals, support staff and client agencies. Applicants must have a demonstrated capacity to function… 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 ... in a supportive and professional manner with other attorneys, paralegals, support staff and client agencies. Applicants must have a demonstrated capacity to function… more
- The County of Los Angeles (Los Angeles, CA)
- …heard in the Superior Court. Handles routine workers compensation and unemployment insurance proceedings for purposes of asserting liens or claims for the recovery ... use in the preparation of child support cases. Makes recommendations for appeals of routine child support cases. Confers with custodial parents, non-custodial… 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 ... and collaborate with Clinical Documentation Specialist team; + Provides coding guidance to staff on the most difficult coding cases; + Ensures VCMC coding practices… more
- Elevance Health (Fresno, CA)
- …+ May also serve as mentor, subject matter expert or preceptor for new staff , assisting in the formal training of associates, and may be involved in process ... + Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a… more