- Towne Park (Anaheim, CA)
- …**Benefits:** Employees are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity ... and telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able… more
- WestCare Foundation (Fresno, CA)
- …position ensures claims are submitted accurately and timely directly to insurance carriers and Medi-Cal Managed Care Plans (MCPs) in accordance with all DHCS, ... track CalAIM claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify client eligibility, authorizations, and service coverage using payer… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....within the Responsibilities section of this job description are representative of those that must be met by an… more
- CVS Health (Sacramento, CA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Highmark Health (Sacramento, CA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- The County of Los Angeles (Los Angeles, CA)
- …of patient access staff responsible for scheduling/registration, financial screening, insurance authorization initiation and tracking, and primary care linkage. ... performing patient access functions at the level ofPatient Relations Representative . Withhold & Out of Class information: No...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- City and County of San Francisco (San Francisco, CA)
- … claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance , third party payors, ... Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this...issues; + Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim… more
- Horizon Services, Inc. (Hayward, CA)
- …+ Administers benefits program, such as group health, dental and vision, life insurance , 401k, UI, COBRA etc., and responds to all provides and vendors requests ... employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with...resources. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …the pharmacy team in administrative tasks such as filing, data entry, and processing insurance claims . + Collaborate with team members to improve workflow and ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more