- The Hartford (CA)
- …Achieve fair, equitable and timely claim dispositions + Properly assess the indemnity, medical and expense exposure of assigned claims + Set reserves accurately ... your success. Responsibilities: + Handle higher complexity Workers' Compensation claims requiring timely investigations, financial accuracy, effective benefit oversight,… more
- Ventura County (Ventura, CA)
- …analyze (Accountant I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide ... 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
- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the… more
- Amazon (CA)
- …handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include ... experience in a call center environment 1+ years with medical billing, insurance claims , or healthcare revenue cycle Demonstrated proficiency in Microsoft Office… more
- Humana (Sacramento, CA)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- UNUM (Sacramento, CA)
- …Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across ... Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant… more
- Robert Half Accountemps (Atwater, CA)
- …financial matters, payment options, and account resolutions. * Review and analyze medical claims for accuracy and compliance with healthcare guidelines. * ... our team in Atwater, California. In this role, you will handle medical billing and collections, ensuring accuracy and compliance with healthcare regulations. This… more
- Robert Half Office Team (San Diego, CA)
- …patient satisfaction, making it an excellent place to advance your career in medical billing. Key Responsibilities: + Claims Submission: Prepare, review, and ... Description Are you an experienced medical billing professional looking to grow your career...submit Medicaid and Medicare claims with close attention to insurance guidelines and compliance… more
- Humana (Sacramento, CA)
- …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- Travelers Insurance Company (Diamond Bar, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or… more