- Cognizant (Sacramento, CA)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Philadelphia Insurance Companies (Roseville, CA)
- …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . + Assures that corporate claims handling procedures and ... staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents,...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Providence (CA)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... **Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program:** +...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- TEKsystems (Fresno, CA)
- …* Working knowledge of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set of data or text ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims ...of applicable documentation. The incumbent will also process Health Insurance Payment Demand (HIPD) claims . The … more
- Robert Half Office Team (Roseville, CA)
- …ensure deadlines are met. * Collaborate with team members to streamline claims processing workflows. Requirements * Previous experience in office administration ... system. * Monitor and organize incoming medical bills for processing . * Record direct payments in claims ... software with precision. * Draft, prepare, and distribute claim -related correspondence. * Maintain organized records and ensure timely… more
- Cardinal Health (Fresno, CA)
- …deadlines are consistently achieved. + Oversee staff and processes concerning third-party insurance and data processing to ensure accurate billing and efficient ... and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the...the LCD/NCD requirements. + Identify trends that inhibit timely claim submission for all centers. + Work closely with… more
- Robert Half Accountemps (Los Angeles, CA)
- …or similar role within a healthcare setting, with a strong understanding of insurance claims processing . + Technical Skills: Familiarity with electronic ... financial and administrative support in the healthcare field. Key Responsibilities: + Insurance Claims Follow-Up: Proactively reach out to insurance … more
- Cardinal Health (Sacramento, CA)
- …getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and.... + Acts as a subject matter expert in claims processing . + Manages billing queue as… more
- Financial Partners Credit Union (Downey, CA)
- …Real Estate loan transfers to new accounts + Process GAP, Credit Life and Disability insurance claims + Assist staff in resolving difficult loan issues + Process ... inception through payoff. Conducts loan account information research, loan adjustments, insurance monitoring, payment processing , member service, special loans… more
- Dignity Health (San Luis Obispo, CA)
- …to interpret patient invoices Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the ... serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate I will evaluate … more