- Dignity Health (San Luis Obispo, CA)
- …to interpret patient invoices Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the processes ... Thorough knowledge of Medicare, Medi-Cal, Physicians Choice and CenCal. **Overview** Dignity Health 's Pacific Central Coast Health Centers (PHC) is a non-profit… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- NTT DATA North America (San Francisco, CA)
- …include medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, ... including benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing. -Collaborate with configuration analysts, business analysts, and… more
- UCLA Health (Los Angeles, CA)
- …$163,600/AnnuallyQualifications + Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required + Minimum of ... in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of five years'...and resolve encounter issues. + Strong knowledge of the health care model, capitation and other managed care IPA… more
- UCLA Health (Los Angeles, CA)
- …$113,000 annually. Qualifications + Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required + Minimum of five ... in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of five (5)...and resolve encounter issues. + Strong knowledge of the health care model, capitation and other managed care IPA… more
- AON (Los Angeles, CA)
- …including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- Travelers Insurance Company (Walnut Creek, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Providence (CA)
- …specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers are ... benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability… 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 ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Sacramento, CA)
- …the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate ... A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee… more