- Robert Half Legal (San Francisco, CA)
- …compliance and mitigate potential risks. * Handle documentation and resolution of claims related to delays, equitable adjustments, design defects, and change orders. ... and construction defects. * Manage legal strategies for dispute avoidance and claim preparation to protect client interests. * Conduct legal research and analysis… more
- Robert Half Legal (Walnut Creek, CA)
- …calendars and schedule meetings, court dates, and other important events. * Administer claims and handle all aspects of complaint resolution. * Utilize Adobe Acrobat ... with Calendar Management for scheduling appointments and deadlines. * Skilled in Claim Administration, including claim filing and follow-up. * Strong ability… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) ... position reviews pre-service authorizations, concurrent and post-service (retroactive review) medical necessity; benefit coverage appeals and reconsiderations, and complex… more
- University of Southern California (Los Angeles, CA)
- …minor clinical procedures, performs EKGs, prepares patient chart with pertinent medical information. Schedules diagnostic tests ordered by the physician as needed. ... performed in accordance with department deadlines. Develops supporting documentation for insurance claims and submits claims to insurance carriers. + Assists… more
- Prime Healthcare (Sherman Oaks, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... care in addition to a full range of specialized medical , surgical, and diagnostic services to improve and save...professional fee claims , performing proactive follow up with payers and other… more
- BrightSpring Health Services (Union City, CA)
- …of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation, training, competency assessment, and ... to obtain reimbursement/payment , utilizing k nowledge of drugs, medical nomenclature, and the metric system + Read s...Skilled in performing detailed work + Knowledge of Medicaid claims regulations and processes + As required by state,… more
- LA Care Health Plan (Los Angeles, CA)
- …assisting each caller. Proficient knowledge in healthcare product lines, medical terminology and claims processes. Licenses/Certifications Required ... One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position will… more
- City and County of San Francisco (San Francisco, CA)
- …and submission of claims to the California Victim Compensation and Government Claims Board, and monitor claim progress and payment. 5. Assist with the ... in obtaining appropriate services, and refer to professional psychological, health, medical , and social service care providers. 2. Provide crisis intervention and… more
- HCA Healthcare (Campbell, CA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Prime Healthcare (Inglewood, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... professional fee claims , performing proactive follow up with payers and other...limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many… more