- Sutter Health (San Francisco, CA)
- …and obtaining preauthorization for all services. Ensures that all patient issues regarding insurance claims and cost of care are handled properly. Gains ... and insurance or other third-party coverage. + Knowledge of insurance and medical terminology. + Ability to interpret a variety of data and instructions,… more
- Highmark Health (Sacramento, CA)
- …reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- Zurich NA (Irvine, CA)
- …+ Conducting interviews, summarizing depositions, reviewing discovery responses and medical records + Preparing discovery requests and responses + Subpoenaing, ... collecting and organizing records from non-parties + Scheduling Surveillance, Compulsory Medical Exams, and Site Inspections + Assisting in trial preparation +… more
- The County of Los Angeles (Los Angeles, CA)
- …staffed vehicle to transfer patient. Performs the patient's verification of medical insurance . Requirements SELECTION REQUIREMENTS: Successful completion of at ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- System One (Oakland, CA)
- …we offer eligible employees health and welfare benefits coverage options including medical , dental, vision, spending accounts, life insurance , voluntary plans, ... and/or reviews cost and risk analyses and extra work claims for the client. + Will be the primary...full-time employees health and welfare benefits coverage options including medical , dental, vision, spending accounts, life insurance ,… more
- J&J Family of Companies (Los Angeles, CA)
- …eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability, ... on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local… more
- Humana (Sacramento, CA)
- …prior authorization, claims , and/or utilization management in healthcare, health insurance , evaluating medical necessity and appropriateness of care + Health ... skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management… more
- J&J Family of Companies (Fresno, CA)
- …eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability, ... on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local… more
- The County of Los Angeles (Los Angeles, CA)
- …of patient access staff responsible for scheduling/registration, financial screening, insurance authorization initiation and tracking, and primary care linkage. ... defined as identifies patients' financial resources to pay for medical and/or mental health care and services; and assists...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Cedars-Sinai (Los Angeles, CA)
- …meet the needs of all customers, ensure the timely submission and collections of claims and support the Medical Center philosophies. The Manager assumes fiscal ... **Job Description** **Grow your career at Cedars-Sinai!** **Cedars-Sinai Medical Center has been named to the Honor Roll in US News & World Report's "Best Hospitals… more