- Walgreens (San Francisco, CA)
- …policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all ... payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis. + Manages and attains inventory… more
- Amgen (Thousand Oaks, CA)
- …Regulatory, Corporate Affairs) to ensure accuracy, alignment, and appropriate claims . + **Editorial leadership** -set voice/tone standards for external scientific ... with high‑stakes audiences. + Familiarity with internal review processes (medical/legal/regulatory) and claims governance. **What you can expect of us** As we work… more
- Highmark Health (Sacramento, CA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician… more
- UCLA Health (Los Angeles, CA)
- …up on claims to ensure timely resolution. + Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve ... you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and efficient collection efforts. Your primary responsibilities… more
- Cognizant (Sacramento, CA)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Robert Half Legal (Walnut Creek, CA)
- …high-volume practice handling wage & hour, discrimination, harassment, and wrongful termination claims . This is a contract opportunity with potential to extend or ... court + Conduct legal research and fact investigations on labor and employment claims + Prepare case chronologies, witness binders, and trial exhibits + Coordinate… 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...related field. + Knowledge of: physician billing regulationsm professional claims and billing procedures, and Google Suite **Where You'll… more
- Gilead Sciences, Inc. (Foster City, CA)
- …with standard pharma and consumer data types and sources such as patient claims , Xponent, Plantrak, sales, activity. . Expertise in commonly used pharma datasets ... such as IQVIA, Symphony, Komodo claims , Optum, Definitive health, Health Verity, EMR/HER . Expertise in Python including commonly used data science libraries such as… more
- UIC Government Services and the Bowhead Family of Companies (Camp Pendleton, 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
- University of Southern California (Los Angeles, CA)
- …research projects. + Experience with health data, including large administrative healthcare claims data from Medicare or private health insurance plans. ... lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral part of… more