- Providence (CA)
- …+ Insurance Carrier Experience + Third Party Professional Negligence Claims Experience + Experience handling Medical Negligence Professional Liability ... medical negligence claims + Experience analyzing medical professional and general liability insurance policy...Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability … more
- LA Care Health Plan (Los Angeles, CA)
- …tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA Care. This role works ... findings that would affect the audit results. Perform claims audits for all medical groups and health plans contracted with LA Care. Timely audit reports… more
- Guidehouse (El Segundo, CA)
- …finance or customer service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance +… more
- Highmark Health (Sacramento, CA)
- … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of ... necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- UCLA Health (Los Angeles, CA)
- …play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be responsible for ... combination of education and experience. + 6-8 years of medical claims payment experience in an HMO...experience in an HMO environment (ie, MSO, IPA, or health plan) - Required + Comprehensive knowledge of industry-standard… more
- MGE Underground, Inc. (Paso Robles, CA)
- …| Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self- insurance and Workers' Compensation ... and office teams. How You Will Contribute + Manage self- insurance claims . Evaluate the legitimacy, scope, and...communication with internal teams and external stakeholders regarding safety, health , and claims -related matters. + Track and… more
- Providence (CA)
- …a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability insurance , time off ... and retain the best people, we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare… more
- Royal Electric (Sacramento, CA)
- …with applicable state and federal regulations. + Coordinates with injured workers, medical providers, treating physicians, claims adjusters, Nurse Case Managers, ... claims paperwork to include incident reports, claim and medical status reports and related documentation. + Sets designated...vehicle & property repair and manages same. + Submits claims to carriers in accordance with insurance … more
- Illumination Foundation (Santa Ana, CA)
- …Experience in Medical Billing and Primary Care Billing Benefits + Medical Insurance funded up to 91% by Illumination Health + Home (Kaiser and Blue ... Platforms and EHR systems + Prior experience working with claims and communication with health networks +...Vision Insurance + Life, AD&D and LTD Insurance funded 100% by Illumination Health +… more
- Sedgwick (Sacramento, CA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Professional Liability Claims Advisor | Must reside in CA Are you ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult ** medical professional liability claims ** by investigating and gathering… more