- 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
- 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
- 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
- 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
- Sedgwick (Sacramento, CA)
- …a hybrid setting 2 days in the Sacramento Sedgwick office / 3 days' work at home .** + Be a part of a rapidly growing, industry-leading global company known for its ... payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients… more
- Evolent (Sacramento, CA)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries… more
- LA Care Health Plan (Los Angeles, CA)
- …management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, ... clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other...the inpatient review team as necessary to ensure timely processing of concurrent reviews. Duties Provides the primary clinical… more
- Evolent (Sacramento, CA)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical , Quality, and Call Center Teams) to identify new… more
- Nevada County (Nevada City, CA)
- …of routine and repetitive clerical accounting duties related to the processing , maintaining, and preparing of statistical, financial, billing, and related records. ... an extensive benefits package including, but not limited to, CalPERS retirement, medical , dental, and vision insurance, life insurance, and flexible spending and… more
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