- NTT DATA North America (San Francisco, CA)
- …including benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing . -Collaborate with configuration analysts, business ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- Cardinal Health (Fresno, CA)
- …deadlines are consistently achieved. + Oversee staff and processes concerning third-party insurance and data processing to ensure accurate billing and efficient ... and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the...claim submission for all centers. + Work closely with insurance carriers for reimbursement requirements to ensure payment. +… more
- Robert Half Accountemps (Lynwood, CA)
- …Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing . Prepare and analyze aging reports to proactively ... work opportunities may be available. Key Responsibilities: Submit and process medical claims accurately to Medi-Cal, commercial insurance , government payers, and… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Accounting Associate - Pooling Are you looking for an impactful job where you ... payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- Wells Fargo (San Francisco, CA)
- …decisioning and business process management solutions which advance fraud detection and claims processing products. This position reports directly to the Head ... these groups to support modernization and optimization. Within TCOO, the Fraud and Claims Technology team is seeking a Principal Architect. The ideal candidate will… more
- Cardinal Health (Sacramento, CA)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer… more
- Zurich NA (Irvine, CA)
- …performs a broad range of administrative and secretarial support for insurance defense attorneys, specializing in General Liability. This position combines remote ... candidate, and Zurich North America. At Zurich North America Claims we acknowledge that work life-balance and flexibility are...submission of all vendor invoices for payment. + Timely processing of daily mail and faxes. + Check Custodian… more
- Nevada County (Nevada City, CA)
- …of routine and repetitive clerical accounting duties related to the processing , maintaining, and preparing of statistical, financial, billing, and related records. ... including, but not limited to, CalPERS retirement, medical, dental, and vision insurance , life insurance , and flexible spending and dependent care accounts… more