- International Paper (Anaheim, CA)
- …accuracy of shared files and databases. + Ensures timely and accurate processing of human resource-related forms; researches and furnishes employee information to ... to FMLA, disabilities, and return to work. + Processes all unemployment-related claims ; participates in any appeal hearings or other activities related to… more
- Humana (Sacramento, CA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (San Diego, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Auto Appraiser **PRIMARY PURPOSE** **:** To inspect, identify, and evaluate ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- NTT DATA North America (San Francisco, CA)
- …implement configuration changes to improve the overall efficiency of system processing . + Work cross-functionally to deliver system functionality to support ... various QNXT modules like Benefits, Contracts, Fee schedules, Providers, members, DOFR, Claims etc. + Minimum 1 year experience implementing Medicare DSNP Line of… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
- Ansible Government Solutions (San Francisco, CA)
- …the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …proceedings and subsequent motions. Maintaining a variety of trial-related documents. Processing civil debt collection claims referred from federal agencies. ... Making recommendations regarding debt compromise, write-off, and referral of claims . Enforcing criminal judgment and commitment orders and independently performing… more
- Executive Office for US Attorneys and the Office of the US… (San Francisco, CA)
- …Perform full range of collection activities ensuring compliance with the Federal Claims Collection Standards. Assignments typically relate to such areas as the ... collection of claims by various agencies against debtors arising from criminal...of specialized experience may include the following: examining and processing a variety of legal documents; conducting research, analysis… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more