- Mass Markets (CA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- 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 (Atwater, CA)
- …billing and collections for commercial, Medi-Cal, Medicare, and third-party payers. * Verify insurance coverage and ensure claims are submitted accurately and on ... options, and account resolutions. * Review and analyze medical claims for accuracy and compliance with healthcare guidelines. *...coding and other relevant billing systems to ensure proper processing . * Collaborate with insurance providers to… more
- Parker Hannifin Corporation (Irvine, CA)
- …activity for pricing, strategic timing of material handling, shipping container/packaging, processing of damage claims and international transportation handling. ... to procurement, supplier inventory, and distribution of manufactured products. + Includes processing of imported goods and export of finished product. Works closely… more
- Humana (Sacramento, CA)
- …to make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
- Robert Half Office Team (Long Beach, CA)
- …collaboratively with billing departments and other staff to ensure accurate coding, claims processing , and compliance with Medi-Cal regulations. * Maintain ... guidelines, and application procedures. + Familiarity with healthcare billing systems and insurance claims is a plus. + Exceptional attention to detail and the… more
- University of Southern California (Los Angeles, CA)
- …in managed health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing ... and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts...of directly related professional and supervisory experience in health insurance programs The ideal candidate for the position of… more
- Ventura County (Ventura, CA)
- …clerical work methods and techniques; and + practice management system for processing reimbursement claims for healthcare services, scheduling, and registering ... a flexible credit allowance for purchasing medical, dental, and/or vision insurance . Flexible Spending Accounts -Pre-tax benefit towards eligible medical, dental,… more
- International Paper (Anaheim, CA)
- …accuracy of shared files and databases. + Ensures timely and accurate processing of human resource-related forms; researches and furnishes employee information to ... to FMLA, disabilities, and return to work. + Processes all unemployment-related claims ; participates in any appeal hearings or other activities related to… more
- Humana (Sacramento, CA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more