- Sedgwick (San Diego, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Auto Appraiser **PRIMARY PURPOSE** **:** To inspect, identify, and evaluate ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
- Robert Half Legal (Los Angeles, CA)
- …commitment to delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * Upload ... this role, you will oversee personal injury cases, ensuring efficient claim processing , effective communication, and timely management of client needs. The ideal… 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
- Alameda Health System (Oakland, CA)
- …of new patient referrals and with initiation of therapy. 5. Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and ... & program management. 7. Monitors, follows up with and records all insurance re-authorizations required by payers to help ensure compliance and continuity of… more
- Evolent (Sacramento, CA)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data and insights… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... errors, inconsistencies, and discrepancies. + Uses guidelines related to the processing of public assistance applications to verify eligibility, correctness of… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …proceedings and subsequent motions. Maintaining a variety of trial-related documents. Processing civil debt collection claims referred from federal agencies. ... Making recommendations regarding debt compromise, write-off, and referral of claims . Enforcing criminal judgment and commitment orders and independently performing… more
- Executive Office for US Attorneys and the Office of the US… (San Francisco, CA)
- …Perform full range of collection activities ensuring compliance with the Federal Claims Collection Standards. Assignments typically relate to such areas as the ... collection of claims by various agencies against debtors arising from criminal...of specialized experience may include the following: examining and processing a variety of legal documents; conducting research, analysis… more