- Cedars-Sinai (Los Angeles, CA)
- …Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We off an outstanding benefit package that includes ... definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties… more
- Insight Global (Burbank, CA)
- …the Health Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, ... Knowledge of medical terminology - Ability to research and verify claims payment, benefits, and eligibility issues - Strong knowledge of benefits plans, policies… more
- Elevance Health (Walnut Creek, CA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... provide an equivalent background. **Preferred Skills, Capabilities and Qualifications:** + Medical terminology training and experience in medical or insurance… more
- Cardinal Health (Sacramento, CA)
- …a leading mail order supply company focused on diabetic patients, (3) Cardinal Health at-Home, a direct-to-home medical supplies distributor, and (4) Velocare, a ... programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement...a wide variety of benefits and programs to support health and well-being. * Medical , dental and… more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... **Current Emanate Health Employees - Please log into your Workday...country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
- Marriott (San Francisco, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and ensure compliance with the Privacy Act. * Ensures medical records are maintained in a separate, secure and...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- Kemper (Cerritos, CA)
- …metrics. **POSITION RESPONSIBILITIES:** + Manages the day-to-day operations for assigned claims staff by establishing schedules and priorities, coaches employees in ... reviewing, analyzing, investigating, negotiating and settling claims in compliance with Kemper Claims Standards....job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) Kemper is proud… more
- Reyes Holdings (Los Angeles, CA)
- …Reyes Coca-Cola Bottling! + Shift: Full Time, Monday-Friday, 8am-5pm + Benefits: Medical , Dental, Vision, 401K Match, PTO, Education Reimbursement + Salary: $108,264 ... the rule governing the program. Position Summary: The Environmental, Health and Safety (EHS) Manager leads and manages employee...of corrective action plans + Participate in Worker's Compensation Claims reviews as needed + Gather and analyze EHS… more
- Abbott (Alameda, CA)
- …company where you can grow the career you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in ... spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues… more
- Defense Health Agency (Davis, CA)
- …upon return. + Provide a full range of primary and preventive health care services, including military-specific medical care, ambulatory surgical procedures, ... + A recruitment or relocation incentive _may_ be authorized. Medical malpractice liability insurance is not required for federal...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more