- Dignity Health (Bakersfield, CA)
- …teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims ... functions. Working knowledge of DHPR and CMS rules for Claim . Submission, Claim Payment, Eligibility, Appeals for...employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a… more
- The County of Los Angeles (Los Angeles, CA)
- …a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services, ... information and counseling to the public on consumer complaints or small claims court procedures. CLASSIFICATION STANDARDS: Positions allocable to this entry level… more
- NTT DATA North America (Merced, CA)
- …experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong understanding of CMS ... guidelines, particularly related to the implementation of claims solutions within the California D-SNP market. This role plays a critical function in bridging… more
- Cardinal Health (Sacramento, CA)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected … more
- Philadelphia Insurance Companies (Roseville, CA)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the… more
- Robert Half Office Team (Bakersfield, CA)
- Description We are looking for an experienced Insurance Verification Clerk to join our team in Bakersfield, California. In this position, you will play a key role in ... years of experience in customer services or a related role. * Proficiency in claims processing and handling medical claims . * Strong communication skills with… more
- Cedars-Sinai (Los Angeles, CA)
- …assigned work queues accounts and completes account follow-up activities including: obtaining claim status, responds to insurance company and other authorized ... Care contracts and reconcile to payments received. + Ensures appropriate insurance coverage and successfully collect underpayments from insurance carriers.… more
- BrightSpring Health Services (Union City, CA)
- …schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- ICW Group (San Diego, CA)
- …scalable data models (conceptual, logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and ... curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change… more
- Robert Half Accountemps (Encino, CA)
- …the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. DUTIES AND ... authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission. -Performs...via CareConnect and Insurance portals prior to claim submission. -Performs all data entry and charge posting… more