- IQVIA (Fresno, CA)
- …+ HIPAA certified + Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) is ... what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Amazon (CA)
- …patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical 's efforts to empower patients in ... handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include… more
- Dignity Health (Santa Maria, CA)
- …insurance verification and authorization. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge ... Choice and CenCal. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the processes and… more
- Amazon (Santa Clara, CA)
- …patients), frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing , medical coding). As a leading subject ... The AWS Healthcare AI organization includes services such as HealthScribe, Comprehend Medical , HealthLake, and more. Key job responsibilities To be successful in… more
- Banc of California (Santa Ana, CA)
- …throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- Humana (Sacramento, CA)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- Kemper (Cerritos, CA)
- …At Kemper, a Represented Casualty Manager is responsible for the oversight of all claim processing and management activities assigned to claim units. This ... and also provides guidance and support to ensure timely, accurate, efficient claim processing and performance metrics. **POSITION RESPONSIBILITIES:** + Manages… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- Cedars-Sinai (Los Angeles, CA)
- …solution definition, applications development and maintenance and enhancements for finance, claims processing , revenue management, and billing systems. Primary ... and payments for partners. + Address inquiries and provide support regarding claims processing and clearinghouse operations. + Implement corrective actions for… more