- Sharp HealthCare (San Diego, CA)
- …Assistant Program or equivalent. + 1 Year Relevant experience in referral processing , discharge coordination, data entry, knowledge of medical terminology, ... level within SCMG TAT guidelines.Coordinates, reviews and processes more complex retrospective claims for medical care and services, including, SNF inpatient… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... requires good written and communication skills and the ability to interact with Medical Directors, Providers, CSMNS members, Medical Group and IPA's to ensure… more
- Humana (Sacramento, CA)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… 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
- Robert Half Finance & Accounting (San Ramon, CA)
- Description General responsibilities: * Responsible for timely processing of weekly union and bi-weekly non-union payroll for approx. 120 employees. * Work closely ... and sick reporting and approvals, proper timecard approvals prior to processing . * Administration of monthly union reporting of contributions, monitoring Union… more
- ICW Group (San Diego, CA)
- …in designing and optimizing data models that support actuarial analysis, policy processing , claims processing , underwriting, compliance reporting, and ... physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Mendocino County Sheriff's Office (Willits, CA)
- …departmental procedures. Duties may include resolving account discrepancies, processing financial transactions, preparing detailed financial reports, and answering ... orders. + Makes journal entries to support financial record-keeping. + Reviews claims and invoices for accuracy and compliance with County policies and identifies… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...and in place for proper infiltration of tissue during processing . Inspects and positions block with specimen for best… 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
- Rady Children's Hospital San Diego (San Diego, CA)
- …Include: Answering calls from provider offices and members of the medical group Performing PCP assignment updates Providing or scheduling translation services ... Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or claim payment status Any other… more