- CVS Health (Sacramento, CA)
- …all dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine ... communications, organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Demonstrated ability to handle… more
- LA Care Health Plan (Los Angeles, CA)
- … claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership ... relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical … more
- Robert Half Accountemps (Los Angeles, CA)
- …a healthcare setting, with a strong understanding of insurance claims processing . + Technical Skills: Familiarity with electronic medical records (EMR) ... Proactively reach out to insurance companies to resolve unpaid or denied medical claims , ensuring timely reimbursement while addressing discrepancies. + Patient… more
- Ventura County (Ventura, CA)
- …POSITION: Under general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing ... Medical Billing Specialist II - Patient Financial Services...credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor… more
- Robert Half Office Team (Bakersfield, CA)
- …of 2 years of experience in customer services or a related role. * Proficiency in claims processing and handling medical claims . * Strong communication ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- Amazon (CA)
- …patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical 's efforts to empower patients in ... handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include… more
- Canon USA & Affiliates (Sacramento, CA)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Movn Health (CA)
- …Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level role ... (Athenahealth, eCW, Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities + Submit… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more