- HUB International (Newport Beach, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... to help guide and support our customer's needs and provide them with innovative insurance solutions. We are seeking an experienced Account Manager who is able to… more
- Evolent (Sacramento, CA)
- …public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related ... healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various sites of… 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
- Highmark Health (Sacramento, CA)
- …of experience + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Robert Half Technology (Martinez, CA)
- …Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with ... tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while… more
- UIC Government Services and the Bowhead Family of Companies (Los Angeles, CA)
- …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 ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Dignity Health (Rancho Cordova, CA)
- …Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations ... applicable to Government and Insurance Collections + Excellent written and verbal communication skills + Working knowledge of computers and demonstrated proficiency… more
- Sharp HealthCare (San Diego, CA)
- …and resolve denied/underpaid accounts, and escalated payer trends/issues to ensure claims are processed and paid per the insurance contract.Other ... calls in conjunction with management and Contract Reimbursement Specialist in reviewing claims processing and rejection issues that delay money collected and AR… more
- LA Care Health Plan (Los Angeles, CA)
- …(DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory ... and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with firm… more
- 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 ... plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with… more