- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
- Providence (Santa Monica, CA)
- …benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability ... safety initiatives, and accreditation compliance, all aimed at reducing damage claims against the hospital and maintaining regulatory compliance. **What You'll Do:**… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...handling experience **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Robert Half Accountemps (Alhambra, CA)
- …Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims . The Medical Collections Specialist ... appeals experience - Adeptness in PPO plans (preferred provided organizations) - Medical denials experience - Health maintenance organization experience - … more
- UCLA Health (Los Angeles, CA)
- Description The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... This is a non-clinical role focused on care coordination, oversight of home health services, and administrative support to ensure compliance with CMS guidelines and … more
- J&J Family of Companies (Irvine, CA)
- …to R&D, Clinical Research, Business Development, Regulatory Affairs, Quality & Compliance, Health Economics & Market Access, and Professional Medical Education ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation... for humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical … more
- Robert Half Accountemps (Duarte, CA)
- …Key Responsibilities: + Billing and Claims Management: Prepare, submit, and track medical claims for services provided in our skilled nursing facility to ... the city of Duarte is looking for a skilled Medical Billing Collections Specialist. The Medical Billing...have at least 4 years of experience in the health care industry. The ideal candidate for this open… more
- Sharecare (Sacramento, CA)
- … claims , OR held one or more of the following positions: + Health Guide/Advocate/Navigator + Medical Assistant + Pharmacy Technician + Phlebotomy Technician + ... Nursing Assistant + Medical Secretary/Clinic Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental… more
- Sedgwick (West Hills, CA)
- …Representative, you'll be a trusted guide for individuals navigating complex disability claims . You'll use your expertise to assess medical documentation, ... **Key responsibilities include:** **Independently evaluating and managing complex disability claims .** **Interpreting medical records and disability plans to… more
- Sedgwick (West Hills, CA)
- …disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more