- GAP Solutions Inc (Sacramento, CA)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Robert Half Accountemps (Lynwood, CA)
- …Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing . + Prepare and analyze aging reports to ... opportunities may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance , government payers, and… more
- Robert Half Legal (Los Angeles, CA)
- …In this role, you will oversee personal injury cases, ensuring efficient claim processing , effective communication, and timely management of client needs. ... commitment to delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * Upload… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- TEKsystems (Roseville, CA)
- …in person and written correspondence, answers questions regarding the Plans' Benefits, eligibility, claims processing and claims appeal * Obtains all ... as liaison between member and provider to communicate plan benefits and facilitate claims processing . * Calculates sick leave banks. * Refers calls, members,… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... stakeholders. + Develop and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications of changes across the… more
- Sharp HealthCare (San Diego, CA)
- …nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home health ... Program or equivalent. + 1 Year Relevant experience in referral processing , discharge coordination, data entry, knowledge of medical terminology, eligibility, and… more
- ICW Group (San Diego, CA)
- …in designing and optimizing data models that support actuarial analysis, policy processing , claims processing , underwriting, compliance reporting, and ... scalable data models (conceptual, logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and… more
- Robert Half Office Team (Bakersfield, CA)
- …2 years of experience in customer services or a related role. * Proficiency in claims processing and handling medical claims . * Strong communication skills ... 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… more
- Robert Half Accountemps (Palo Alto, CA)
- …debt transfers, adjustments, and contractual write-offs. + Review worklists in EPIC and resolve claim edits. + Rebill claims based on denial follow-ups. + Post ... Representative is responsible for accurate and timely billing, collections, payment processing , and account resolution for patient accounts. The Patient Account… more