- Scripps Health (San Diego, CA)
- …in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the following: ... and credit balances on a regular basis set by department guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid Holidays + Position may… more
- Zurich NA (San Francisco, CA)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience ... Underwriting Specialist OR Executive Underwriter 128413 Zurich is currently...Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing. Required Licenses/Certifications: + Req Fire ... The Clinical Authorization Specialist will take the lead in securing medical...+ Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD… more
- Sedgwick (West Hills, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries, ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...Degree. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… 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, ... payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams...claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify client eligibility, authorizations, and service… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more