- Ventura County (Ventura, CA)
- …the use of multiple electronic health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV ($ ... Medical Billing Specialist III/IV - Behavioral Health Print...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- USAA (San Diego, CA)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintains accurate and current claim file documentation throughout the claims process for complex … more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through… more
- Travelers Insurance Company (Sacramento, CA)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Cedars-Sinai (Los Angeles, CA)
- …Maintaining interim claim billing profile. + Generate regular reports on claims status, rejections, and payments for partners. + Address inquiries and provide ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We off an outstanding benefit package that includes… more
- Behavior Treatment & Analysis (Walnut Creek, CA)
- …fill out the following spreadsheets: + "Billing projection Monthly" + Follow up with claim denials/unpaid claims - Via Emails or Phone calls + Submit Disputes in ... position will assist the Billing Coordinator in Billing to Insurance companies and claim denials resolution. Key Responsibilities: + Prepare and submit claims to… more
- Allied Universal (Orange, CA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Sedgwick (Orange, CA)
- … claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (West Hills, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and risk partners to identify and recommend risk management approaches for CHLA Claims Management * Overseeing and optimizing claim investigation, reserving and ... is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, integrated risk management and all… more