- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Humana (Sacramento, CA)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- Sharp HealthCare (San Diego, CA)
- …Sharp. **What You Will Do** Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and ... and receipts in accordance with department standard. + Completes insurance verification and evaluationInsurance/Plan Selection:After medical screening (ER settings),… more
- Humana (Sacramento, CA)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …provider offices), answering the phone (including all provider calls regarding authorization processing , claims related phone calls, and any other calls received ... tasks. This includes, but is not limited to, initial authorization processing , (data entry, eligibility verification, benefits verification, and requesting required… more
- Adecco US, Inc. (Fountain Valley, CA)
- …of internal and Korean financial statements for Parts Accounting. . Establish procedures for processing warranty claims ; monitor such claims as received and ... and participate in month-end closing activities including SAP system transaction processing , preparation of internal and external financial schedules. . Ensure… more
- Banner Health (CA)
- …the beginning of the revenue cycle process. Experience within medical insurance accounts receivable (AR), physician fee-for-service billing, and knowledge of ... Medicare, Medicaid and commercial insurance is highly preferred. **Location** : Remote **Schedule** :...more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as… more
- Humana (Sacramento, CA)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more
- Mendocino County Sheriff's Office (Willits, CA)
- …departmental procedures. Duties may include resolving account discrepancies, processing financial transactions, preparing detailed financial reports, and answering ... orders. + Makes journal entries to support financial record-keeping. + Reviews claims and invoices for accuracy and compliance with County policies and identifies… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more