- Robert Half Legal (Los Angeles, CA)
- …In this role, you will oversee personal injury cases, ensuring efficient claim processing , effective communication, and timely management of client needs. ... delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * Upload and organize… more
- Sedgwick (Sacramento, CA)
- …to apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge of field case management + Excellent oral and ... injury referral calls from clients; gathers vital case details, obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM)… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- LA Care Health Plan (Los Angeles, CA)
- …execution, reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These ... timely and accurate deliverables to ensure financial solvency and claims processing compliance with regulatory and contractual...liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. Reviews and… more
- Sharp HealthCare (San Diego, CA)
- …skilled nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home ... Assistant Program or equivalent. + 1 Year Relevant experience in referral processing , discharge coordination, data entry, knowledge of medical terminology,… more
- Ventura County (Ventura, CA)
- …or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide realistic ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...(Accountant I) or reviews and reconciles (Accountant II) bond claims to verify that charges for the project on… more
- Banner Health (CA)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing… more
- Canon USA & Affiliates (Sacramento, CA)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more