- Humana (Sacramento, CA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...and can be based anywhere in the United States Travel : While this is a remote position, occasional … more
- HUB International (Roseville, CA)
- …written interactions. + High School / GED + 1-2 years of healthcare claims processing , or benefits administration preferred **KNOWLEDGE / SKILLS / ABILITIES** ... queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone...resolution of issues. + Communicates with employers, employees, and medical providers to resolve benefit issues. + Helps educate… more
- Evolent (Sacramento, CA)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical , Quality, and Call Center Teams) to identify new… more
- Robert Half Legal (Glendale, CA)
- …Comp Law * Experienced in making Court Appearances * Skilled in managing and processing Insurance Claims Robert Half is the world's first and largest specialized ... related to workers compensation cases * Handle related insurance claims as part of the legal service provision *...Maintain good standing with the California State Bar * Travel occasionally as per case requirements * Contribute to… more
- Humana (Sacramento, CA)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... a remote opportunity,** **it will require the willingness to travel to the market office and state office as...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Sacramento, CA)
- …as Word, Excel, PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical ... if you will be moving forward to next round. Travel : While this is a remote position, occasional ...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Highmark Health (Sacramento, CA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- Kemper (Sacramento, CA)
- …**Benefits:** Kemper offers competitive benefits, including Group Life Insurance, Major Medical & Dental, Short-term & Long-term disability, 401(k) with company ... Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money… more
- Fortrex (CA)
- …Regional Customer Service Manager **Work Schedule:** Monday - Friday **Amount of Travel Required:** 70-80% **Positions Supervised:** None **WHO YOU ARE:** **Are you ... food safety solutions for both contract sanitation and chemistry in the food processing industry. + Over 10,000 dedicated team members across North America. +… more
- Grant Thornton (Los Angeles, CA)
- …projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing , with a focus on improving financial performance ... exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as… more