- CVS Health (Sacramento, CA)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim ... efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory… more
- The County of Los Angeles (Los Angeles, CA)
- …(40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Gerber Collision & Glass (Hawthorne, CA)
- …CA Glass America is a respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass America's shop operations team and ... paid parental leave. + 6 paid holidays annually. + Medical , Prescription Drug, Dental & Vision Insurance + 401(k)...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …for the evaluation of Veterans and Service Members who have filed VA Disability claims . The incumbent will be located at VA Palo Alto Health Care System (VAPAHCS). ... Clinical: Evaluates Veterans and Service Members who have filed VA Disability claims with the Veterans Benefits Administration (VBA) and/or Service Members being… more
- Robert Half Legal (San Francisco, CA)
- …their insureds. This is a NON-LITIGATION position. If you are currently litigating insurance claims and want to shift away from litigation to a hybrid remote firm, ... their insureds * Investigate and research complex matters involving detail-oriented liability claims * Analyze complex insurance contracts and policy forms and apply… more
- Sedgwick (Sacramento, CA)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- Humana (Sacramento, CA)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience +… more
- Volunteers of America Los Angeles (Downey, CA)
- Medical Biller Location:Downey, CA Job ID:4350 Salary:$22.87 - $24.08 Per Hour Area of Interest:Recovery Division:Adult Services Shift Type:Day About Us: VOALA ... atwww.voala.org. PAY RATE:$22.87 - $24.08 Per Hour BENEFITS:VOALA offers competitive medical , dental, vision and retirement benefits. JOB SUMMARY AND PURPOSE While… more
- Robert Half Accountemps (Los Angeles, CA)
- …of handling medical denials and appeals. * Expertise in working with medical insurance claims and resolving discrepancies. * Ability to analyze account data ... is a long-term contract position ideal for someone with expertise in medical billing, collections, and insurance processes. Responsibilities: * Review submitted … more
- The County of Los Angeles (Los Angeles, CA)
- …psychiatric nurses, psychiatric social workers, marriage and family therapists, medical doctors, clinical case managers, and/or other mental health care ... (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic… more