- Sedgwick (Sacramento, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Cognizant (Sacramento, CA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Centene Corporation (Sacramento, CA)
- …preferably with State or Federal managed care programs required. + Understanding of claims processing rules for professional and facility claims , managed ... this job have the flexibility to work remote from home anywhere in the Continental United States. Start times...adjudication concepts, claims inventory management and general claims department processes required. + Knowledge of Medical… more
- IQVIA (San Francisco, CA)
- …HIPAA certified + Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) ... 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
- Mass Markets (CA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW WE'RE HIRING 1,000 WORK AT HOME STAFF TO SUPPORT FEDERAL, STATE, AND COMMERCIAL...on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information,… more
- Wounded Warrior Project (San Diego, CA)
- …. A flexible hybrid work schedule (three days in the office, two days' work from home ) . Full medical , dental, and vision coverage for both teammates AND family ... service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals...claimants in the preparation, presentation, and prosecution of their claim (s) before the VA. + Basic experience utilizing case… more
- City and County of San Francisco (San Francisco, CA)
- …looks like in action. The 2913 Program Specialist is used by In- Home Supportive Services (IHSS), County Adult Assistance Program (CAAP), CalWORKs, Workforce ... to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes.… more
- The County of Los Angeles (Los Angeles, CA)
- …enforcement of the Food Sanitation Act through inspection of food processing facilities, repacking warehouses, market complexes, and salvagers, monitoring food ... of unpermitted street food vending; registration, permitting and inspection of small-scale home restaurants, Cottage Food Operators, Class A and Class B; specialized… more
- The County of Los Angeles (Los Angeles, CA)
- …activities that involve various healthcare sectors to include Ambulatory Surgery Centers, Home Health/Hospice and EMS Provider. + Develops medical surge ... SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …procedural codes to individual patient information for data retrieval analysis and claims processing . Queries physicians and/or oversees the query process when ... to all our patients with a goal to return home . Our team of qualified professionals provides compassionate care...qualified professionals provides compassionate care by: + Maintaining high medical integrity + Fostering a team spirit among staff… more