- Robert Half Office Team (Berkeley, CA)
- …and flow, including preparation before visits, assistance during consultations, and follow -up tasks after appointments. * Escort patients to examination rooms ... authorizations required prior to appointments. * Resolve billing issues, troubleshoot claims , and address discrepancies to ensure smooth administrative processes. *… more
- Pacific Aviation (San Francisco, CA)
- …passengers at check-in counters, arrival areas, and gates with baggage-related inquiries, claims , and service needs + File and update reports for delayed, damaged, ... and safety protocols are upheld + Respond to baggage claim escalations in a calm and solutions-focused manner +...calm and solutions-focused manner + Maintain documentation accuracy and follow all airport, TSA, and airline procedures + Deliver… more
- Elevance Health (Cerritos, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- University of Southern California (Newport Beach, CA)
- …and provide outcomes to the Supervisor daily, prior to end of shift. + Follow -up on outstanding authorization requests and on medical documentation requests in a ... behavior. Preferred Qualifications: + Pref Experience in area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting.… more
- Fresenius Medical Center (Sacramento, CA)
- …communication with all. + Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. ... project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …ensuring that both facility and professional bill forms have been submitted. Follow -up: Responsible for ensuring accounts have been adjusted per the terms of ... for ensuring the payer is in receipt of our claims and the collection of the outstanding balance due...months' billing experience or recent billing course. Familiar with medical terminology. Strong PC skills (Microsoft applications). Basic office… more
- Datavant (Sacramento, CA)
- …Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes ... Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Per Diem **Shift** Evening **FTE** 0 **Shift Start Time** **Shift End ... functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing...role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs… more
- CenterWell (Sacramento, CA)
- …+ Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations. + Medication adherence outreach, auditing, ... + Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations,… more
- Sumitomo Pharma (Sacramento, CA)
- …(https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=3440496098&u=https%3A%2F%2Fwww.us.sumitomo-pharma.com%2F&a=https%3A%2F%2Fwww.us.sumitomo-pharma.com+) or follow us ... company's new and established programs. This position reports to the Chief Medical Officer. **Job Duties and Responsibilities** + Strategic thought partner including… more