- Humana (Sacramento, CA)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical ... business, industry terminology, and regulatory guidelines. Working knowledge of claims coding and medical terminology. Solid understanding of standard… more
- CVS Health (Sacramento, CA)
- …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation… more
- Providence (Irvine, CA)
- …torts, and regulatory enforcement. + Coordinate closely with Risk Management and insurance carriers on pre-litigation claims and insured matters. + Oversee ... including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability insurance , time… more
- Kemper (Cerritos, CA)
- … policies and knowledge of relevant state laws and regulations governing auto insurance claims . + Time management skills ensuring deadlines are met for ... metrics. **POSITION RESPONSIBILITIES:** + Manages the day-to-day operations for assigned claims staff by establishing schedules and priorities, coaches employees in… more
- Humana (Sacramento, CA)
- …and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Robert Half Accountemps (Encino, CA)
- …industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. DUTIES AND RESPONSIBILITIES ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Marriott (Newport Beach, 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
- Robert Half Accountemps (Sacramento, CA)
- …and payment posting. * Strong understanding of medical collections and claims processes. * Ability to accurately process insurance and patient payments ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- 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
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