- CVS Health (Sacramento, CA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Otsuka America Pharmaceutical Inc. (San Jose, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …degree and 15+ years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current global Good Clinical ... Previous experience of working in the global pharmaceutical and medical device industry. + Experience working with external service...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …applying FDA design control requirements (21 CFR ) as applied to medical device software and medical device regulation (IEC-62304) **Competencies** ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …with, and/or be a critical partner to Early Phase & Translational Medical , Clinical Development, Value and Real-World Evidence, Regulatory, Medical Affairs, ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- UCLA Health (Los Angeles, CA)
- …team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service, and appeals ... skills. In this role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines. + Ensure… more
- Aerotek (Richmond, CA)
- …as well as other confidential company files. + Respond to employment verifications, unemployment claims , and disability claims . + Serve as the point person for ... worker's compensation, file claims , and coordinate with the worker's compensation provider and...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Roseville, CA)
- …Representative to support our healthcare members with eligibility, benefits, and claims inquiries. This role requires strong communication skills, a customer-first ... via phone, in person, and written correspondence + Explain plan benefits, eligibility, claims processing, and appeals + Draft eligibility, sick leave, and basic … more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. This ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more