- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits + ... service are met and is subject to closure without prior notice. About the Medical Examiner: The Department of Medical Examiner investigates and determines the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...clean claim submission. This position is responsible for pulling medical records to submit with claims and… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing , population health, appeals and grievances, etc.) and the ... root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- LA Care Health Plan (Los Angeles, CA)
- …Compliance Reports. In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto ... as assigned. Duties Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet… more
- Sedgwick (Sacramento, CA)
- …payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Cedars-Sinai (Beverly Hills, CA)
- …Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's ... with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the… more